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There are no other tests to diagnose dementia if there is no underlying cause : in other words Alzhemier's is a clinical diagnoses.
However, other causes must be ruled out., and if not tested for , this should be done.
Small vessel disease in the brain [MRI/MRA should be done.].
And other possibilities.
'The specialist will consider all of this and do the testing.
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They will have more experience treating it.
They will do more metabolic testing [testing all B vitamins for example].
And will do a more highly specialized brain imaging.
And cinch the diagnosis.
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Come back as needed.