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294.1x Dementia of the Alzheimer's Type

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  • The development of multiple cognitive deficits manifested by both
    • memory impairment (impaired ability to learn new information or to recall previously learned information)
    • one (or more) of the following cognitive disturbances:
      • aphasia (language disturbance)
      • apraxia (impaired ability to carry out motor activities despite intact motor function)
      • agnosia (failure to recognize or identify objects despite intact sensory function)
      • disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting)
  • The cognitive deficits in Criteria A1 and A2 each cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning.
  • The course is characterized by gradual onset and continuing cognitive decline.
  • The cognitive deficits in Criteria A1 and A2 are not due to any of the following:
    • other central nervous system conditions that cause progressive deficits in memory and cognition (e.g., cerebrovascular disease, Parkinson's disease, Huntington's disease, subdural hematoma, normal-pressure hydrocephalus, brain tumor)
    • systemic conditions that are known to cause dementia (e.g., hypothyroidism, vitamin B12 or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection)
    • substance-induced conditions
  • The deficits do not occur exclusively during the course of a delirium.
  • The disturbance is not better accounted for by another Axis I disorder (e.g., Major Depressive Disorder, Schizophrenia).

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