Difficulties of diagnosing and managing dementia in people with Down syndrome

combination of both conditions. 2 For that reason the authors of the tool have recommended it be used sequentially to identify decline over time from an individual baseline. It cannot be used as a cross-sectional staging tool because a high score could indicate a long-standing level of intellectual ability rather than dementia and a low score might not exclude dementia in those with mild intellectual impairment. Unfortunately clinician ratings of mild, moderate or severe dementia were incompletely recorded in clinical notes (Table