<- Home <- Arhive <- Vol. 16, Issue 2, June 2008

Rom J Leg Med16(2)151-157(2008)
© Romanian Society of Legal Medicine

Medical and forensic implications in dementia

G. Costea, V. Gheorghiu

Abstract: Psychiatric medical and legal errors occurring in psycho organic pathology dementia types can be classified as errors of taxonomic, organizational origin which involve the interdisciplinary collaboration of medical and legal psychiatry/neurology/paraclinical specialties. An illustration of this source of errors is represented by the fact that dementias are classified in chapter V, mental and behavioral diseases, codes F00/ F09 and in the class of neurological diseases, codes G 30, G 31.1. and G 31.2 regarding degenerative disorders of the nervous system. The failure to corroborate medical and non medical data, as well as incomplete data, are the most frequent underlying causes for errors in setting the medical criteria necessary for the justice system. The authors review the diagnostic challenges that various types of dementias represent: sub cortical dementias, degenerative dementia, pseudo dementias, depressive pathology or vascular clinical pictures, Pick disease, Alzheimer’s disease under treatment. In forensic practice when dealing with psycho organic pathology of dementia type, it is essential to closely follow the mixed, psychiatric and neurological, criteria patterns for the diagnosis, including a minimum of paraclinical investigations, such as psychological examination, computerized EEG and CT scan. The interdisciplinary collaboration between neurology, psychiatry and forensic medicine becomes an essential requirement in order to prevent possible judicial errors.
Keywords: dementia, subcortical dementias, degenerative dementia, pseudo dementias, Alzheimer disease

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