early signs of dementia

Written by Zhang Hui
Neurology
Updated on September 08, 2024
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Dementia in the elderly, mainly referring to Alzheimer's disease, is primarily characterized by a significant decline in the patient's memory and learning abilities. Of course, there are some prodromal symptoms before the onset of dementia. For example, patients might show no clinical signs of cognitive impairment or only display very slight memory decline. Patients might exhibit mild impairment in memory, a decrease in the ability to learn and retain new information, and mild impairments in other cognitive areas such as attention, executive function, language skills, and visuospatial abilities. However, these impairments are very slight and can go unnoticed by family members. Moreover, these mild impairments do not affect the patient's basic daily life abilities and do not reach the level of dementia. Patients can live independently and manage their routine daily tasks, which are mainly some of the early signs of dementia.

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Written by Zhang Hui
Neurology
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What is the full name of dementia?

Senile dementia mainly refers to Alzheimer's disease, a condition with a relatively high incidence rate among the elderly population, and it is the most common neurodegenerative disease. The specific causes and mechanisms of this disease are not particularly clear. Under the influence of various factors, degeneration and death of the temporal lobe, hippocampus, and neurons occur, leading to a series of clinical manifestations. Initially, it mainly manifests as a decline in recent memory function, often forgetting recent events. As the disease progresses, there is a decline in calculating ability and judgment, significant spatial dysfunction, personality changes, and psychiatric symptoms.

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Written by Zhang Hui
Neurology
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What to eat for senile dementia

For patients with dementia, it is recommended to take some cholinesterase inhibitors, which can increase the content of acetylcholine in the brain and have certain effects on improving cognitive functions. Additionally, consuming NMDA receptor antagonists can also help improve cognition. In terms of diet, it is advised that patients eat more foods rich in unsaturated fatty acids, such as fish, shrimp, and olive oil. It's also beneficial to consume plenty of fresh vegetables and fruits, which are rich in vitamin C and can help combat oxidative stress. Drinking more milk and eating foods rich in B vitamins, mainly whole grains, is also recommended. (Medication should be used under the guidance of a doctor.)

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Written by Guan Yu Hua
Orthopedic Surgery
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Is spinal bifida prone to dementia?

Spina bifida is a common congenital malformation caused by incomplete closure of the vertebral canal during embryonic development. If the spina bifida is occult, it does not affect anything and does not cause dementia. If it is overt spina bifida, it can be diagnosed through physical examination, and confirmed with radiographic examination, CT, or MRI. Typically, the patient has a swelling along the midline of the back, which grows as they age. The cystic tension increases when the child cries, and may be accompanied by varying degrees of flaccid paralysis of the lower limbs and incontinence. Occult spina bifida generally has no symptoms and does not require intervention. However, overt spina bifida is best treated surgically, or if the occult spina bifida is accompanied by spinal cord tethering, then surgical treatment is recommended as it would be for all cases of overt spina bifida. In cases where the cyst wall is very thin and ruptured, emergency surgery is necessary and can be curative. For other cases, surgery within one to three months is optimal to prevent aggravation of the condition due to cyst rupture. Generally, adult patients with stable conditions in recent years may not need surgery.

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Written by Zhang Hui
Neurology
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At what age does senile dementia usually occur?

It is generally believed that elderly people over the age of 65 are at a significantly increased risk of dementia, and the prevalence is even higher among those over 80. However, there are exceptions, as some individuals may experience cognitive decline around the age of 50, which requires extra attention. The most common cause of dementia is Alzheimer's disease, a typical neurodegenerative disorder where various factors lead to the degeneration and death of neurons. Initially, patients mainly exhibit a decline in short-term memory functions, often mistaken for simple forgetfulness, resulting in a failure to seek diagnosis and treatment.

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Written by Zhang Hui
Neurology
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What can be done about senile dementia?

Once a patient is diagnosed with dementia, it is crucial to promptly visit a hospital for treatment. The doctor will conduct some auxiliary examinations based on the patient's medical history to rule out other diseases. If the diagnosis confirms dementia, firstly, family members must pay attention to care. The living abilities of patients with dementia decline significantly, and they may experience wandering, thus enhancing caregiving to prevent any accidents in the elderly; Secondly, it is essential to encourage the patient to engage in physical activities. Exercise can slow down the progression of aging and delay the further deterioration of dementia; Thirdly, it is vital to enhance communication for the patient, encouraging them to converse more with others, as interaction can slow down the progression of dementia; Fourthly, some specific medications should be administered for treatment. These drugs mainly include acetylcholinesterase inhibitors and NMDA receptor antagonists, which current research confirms can alleviate certain symptoms of dementia.