Dementia Health Channel

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Central nervous system and peripheral nervous system

Dementia

Definition

Dementia is a loss of brain function that occurs with certain diseases.

Alternative Names

Chronic brain syndrome; Lewy body dementia; DLB; Vascular dementia 

Causes, incidence, and risk factors

The two major causes of non-reversible (degenerative) dementia are:

The two conditions often occur together.

Dementia with Lewy bodies (DLB) is a leading cause of dementia in elderly adults. People with this condition have abnormal protein structures in certain areas of the brain.

The structures and symptoms of DLB are similar to those of Alzheimer's disease, but it is not clear whether DLB is a form of Alzheimer's or a separate disease. There is no cure for DLB or Alzheimer's.

Conditions that damage blood vessels or nerve structures of the brain can also lead to dementia.

Treatable causes of dementia include:

Dementia usually occurs in older age. It is rare in people under age 60. The risk for dementia increases as a person gets older.

Symptoms

Problems may involve language, memory, perception, emotional behavior or personality, and cognitive skills (such as calculation, abstract thinking, or judgment). Dementia usually first appears as forgetfulness.

Symptoms include:

  • Changed feeling (sensation) or perception
  • Changed sleep patterns
  • Decrease in problem-solving skills and judgment
  • Disorientation
    • Confused about people, places, or times
    • Unable to pick up cues from the environment
  • Disorders of problem-solving or learning
    • Trouble making calculations
    • Unable to learn
    • Unable to think abstractly
    • Unable to think in general terms
  • Impaired recognition (agnosia)
    • Trouble recognizing familiar objects or people
    • Trouble recognizing things through the senses
  • Lack of or poor language ability (aphasia)
    • Unable to form words
    • Unable to name objects
    • Unable to read or write
    • Unable to repeat a phrase
    • Unable to speak (without muscle paralysis)
    • Unable to understand speech
    • Have impaired language skills
    • Repeat phrases
    • Speak poorly (enunciation)
    • Use slang or the wrong words
  • Memory problems
    • Unable to remember new things (short-term memory problems)
    • Unable to remember the past (long-term memory problems)
  • Motor syste

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Alzheimer's disease (1 image) (Doctor-Reviewed information)
Alzheimer's disease (AD), one form of dementia, is a progressive, degenerative brain disease. It?affects memory, thinking, and behavior. Memory impairment is a necessary feature for the diagnosis of this or any type of dementia. Change in one of the following areas must also be present: language, decision-making ability, judgment, attention, and other areas of mental function and personality. The rate of progression is different for each person. If AD develops rapidly, it is likely to continue to progress rapidly. If it has been slow to progress, it will likely continue on a slow course. Reviewer: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/13/2008

Multi-infarct dementia (1 image) (Doctor-Reviewed information)
Multi-infarct dementia (MID) is a form of vascular dementia - damage in mental function caused by strokes. Reviewer: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/13/2008

Dementia due to metabolic causes (1 image) (Doctor-Reviewed information)
Dementia due to metabolic causes is a loss of mental function that can occur with diabetes, thyroid disease, and other metabolic disorders. Reviewer: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/13/2008

Progressive supranuclear palsy (1 image) (Doctor-Reviewed information)
Progressive supranuclear palsy is a movement disorder caused by damage to certain nerve cells in the brain. Reviewer: Daniel Kantor, MD, Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/06/2008

Pick's disease (1 image) (Doctor-Reviewed information)
Pick's disease is a rare and permanent form of dementia that is similar to Alzheimer's disease, except that it tends to affect only certain areas of the brain. Reviewer: Daniel Kantor, MD, Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/06/2008

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