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Article #65: Are All Dementias Alzheimer's?

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I'm surprised when some patients and placed in his or her hands without
caregivers confuse dementia and looking at it.
Alzheimer's as one and the same. Each Impairment in executive functioning is
time a family member is suffering from characterized by difficulty in abstract
memory loss, the conclusion is always reasoning and in organizing things,
Alzheimer's. Is it reasonable to label schedule, and activities. Patients with
all dementias as Alzheimer's? this problem give concrete meaning to
As a clinician, my answer to queries is proverbs. For example, when a patient is
that Alzheimer's dementia is only one asked what "don't cry over spilled milk"
type of dementia and that not all means, the patient responds, "It's easy.
dementias are Alzheimer's. Aside from Just wipe it!" Moreover, knowing the
Alzheimer's disease, other dementias specific similarities and differences of
exist such as Dementia with lewy body, certain things (e.g. apple versus orange)
Vascular dementia, Parkinson's disease is a struggle for some patients.
with dementia, and dementias due to What are the possible causes of
various neurologic and medical Alzheimer's?
conditions. The cause of Alzheimer is still unknown.
How will you know if a person is However, several risk factors have been
suffering from Alzheimer's dementia? What identified. One major risk factor is age.
is Alzheimer's dementia? The risk of developing dementia increases
Alzheimer's dementia is a neurologic as our age advances. Older individuals
disorder characterized by a progressive therefore are more at risk. Having said
and irreversible cognitive decline this, Alzheimer's can also happen to
associated with impairment in young individuals.
functioning. The cognitive deterioration Other important risk factors include the
consists of memory impairment. Initially presence of apolipoprotein E4 allele, the
there is recent memory impairment but as predominance of plaques and tangles in
the disease progresses, even the long the brain, and the brain's impaired
term memory is affected. cholinergic system.
In addition to memory impairment, a Is there any successful treatment for
patient with dementia has impairment in Alzheimer's?
one of four cognitive areas: aphasia, Alzheimer's disease is irreversible so
apraxia, agnosia, and impairment in current medications are only geared to
executive functioning. Aphasia is a slow down the deterioration. These
problem in language characterized by acetylcholisterase inhibitors, namely
inability to express oneself, repeat galantamine, rivastigmine, and donepezil,
words or phrases, or understand what is are aimed at improving the cholinergic
being said. Apraxia is inability to functioning in the brain by inhibiting
adequately perform a usual motor activity the cholinesterase enzyme. Although
such as combing the hair or brushing the initially indicated for mild to moderate
teeth despite no paralysis or dementia, some recent evidence shows that
musculoskeletal abnormality. some of these drugs may also benefit
Agnosia is inability to recognize objects patients with moderate to severe
or things despite intact sensory dementia. Further studies are warranted
functions. For instance, a demented to determine its efficacy in this group.
patient cannot recognize a key or a pen






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