At present, there is no valid diagnostic system that can be used for the di
agnosis of dementia and its underlying causes. The consensus criteria of th
e German Association of Medical Practicioners, the Canadian Medical Associa
tion and the European Federation of Medical Societies are described. While
the detection of the presence of dementia and the differential diagnosis to
wards depression seem relatively easy, there are considerable difficulties
in the differential diagnosis among the dementias and in early diagnosis. I
t is deemed necessary to relate the various diagnostic consensus criteria t
owards each other and establish consensus for differential diagnosis. CSF a
nalysis and new MR techniques may allow a positive diagnosis of Alzheimer's
disease in the near future.