By Ames, David; Burns, Alistair S.; O'Brien, John
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Additional info for Dementia
221). These views, from men who lived in Alzheimer’s and Kraepelin’s time, must be taken seriously (Berrios, 1990a). Of late there has been an attempt to rewrite the history of AD. After having been lost for years, the case notes of Auguste D, the first patient with AD, were found in the late 1990s (Maurer and Maurer, 1998). As mentioned above the original report by Alzheimer (1907) clearly stated that Auguste suffered from severe confusion, delusions, hallucinations, focal symptoms and on post-mortem her brain showed plaques, tangles and, most importantly, arteriosclerotic changes.
This is confirmed by commentaries from those who worked for him: Perusini (1909) wrote that for Alzheimer ‘these morbid forms do not represent anything but atypical form of senile dementia’ (p. 143). 3 THE NAMING OF THE DISEASE Kraepelin (1910) coined the term in the eighth edition of his Handbook: at the end of the section on ‘senile dementia’ he wrote: the autopsy revels, according to Alzheimer’s description, changes that represent the most serious form of senile dementia y the Drusen were numerous and almost one third of the cortical cells had died off.
Although possibly ending up in a state of idiocy, the patient can show lucid intervals. Once again, age is of no relevance to moria and hence one must conclude that Feuchtersleben is referring to a form of vesanic dementia. Griesinger’s nosology is not altogether clear and has often been interpreted as being based on the belief that there is only one form of madness (unitary psychoses concept), which may go through at least three stages: depression (as in melancholia), exaltation (as in mania) and weakness (as in chronic madness and dementia).