Can senile dementia be cured?

Written by Zhang Hui
Neurology
Updated on September 16, 2024
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Dementia in the elderly is a clinical syndrome caused by the irreversible death of neurons. So far, the mechanism of the disease is not particularly clear, making it very difficult to cure dementia completely. However, there are some corresponding treatment methods that can delay the progression of the disease and improve the quality of life of patients as much as possible. These treatments mainly include exercise therapy, which involves getting patients to participate in appropriate physical activities that can promote cognitive development. In addition, letting patients listen to music more often, interact more with others, and continue learning can also delay the progression of aging. Furthermore, there are some medications that can improve the symptoms of dementia. Currently, the most commonly used worldwide are acetylcholinesterase inhibitors, which can increase the levels of acetylcholine and thereby improve cognitive function to some extent and slow the progression of the disease. Additionally, if elderly individuals exhibit some psychiatric symptoms, they can also be given some atypical antipsychotic medications to alleviate the condition.

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Written by Tang Bo
Neurology
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Mild manifestations of senile dementia

Mild dementia, especially in its early stages, often goes unnoticed by family members. The initial symptoms generally include being particularly forgetful. This particularly affects short-term memory; for example, a person might repeat what was just said or be repeatedly clumsy in daily tasks, sometimes losing keys or forgetting to turn off the stove while cooking. This might seem like a lack of concentration, but in reality, it is due to forgetfulness. Emotionally, individuals who were once lively might become indifferent or detached, sometimes showing signs of excitement or agitation. Behaviorally, there can be changes, such as previously generous individuals becoming stingy. Interests and hobbies that were once loved may no longer hold appeal, and individuals may become lethargic and less concerned with cleanliness and personal appearance.

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Written by Zhang Hui
Neurology
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Symptoms of dementia in the elderly

Dementia in the elderly is medically known as Alzheimer's disease, which is categorized into mild, moderate, and severe stages. The clinical manifestations vary with the severity of the disease. Mild dementia primarily presents as memory impairment, starting with a decline in short-term memory, where patients often forget daily activities. For instance, they might forget the way home when they go out, forget to add salt when cooking, or forget to turn off the stove. Patients may also exhibit personality disorders, such as neglecting personal hygiene or not wanting to bathe. As the disease progresses to moderate dementia, besides worsening memory impairment, the patient's ability to work, learn new knowledge, and communicate with others significantly diminishes. There is a notable decline in previously acquired knowledge and skills, such as judgment and calculation abilities. They may also experience aphasia, apraxia, agnosia, and some patients may exhibit significant behavioral and psychological abnormalities. With further progression to severe dementia, patients may become emotionally detached, exhibit unpredictable crying or laughing, fail to recognize family members, lose verbal abilities, and even become unable to perform simple tasks such as dressing or eating. They may spend their days in bed, not speaking, and gradually lose contact with the outside world, ultimately leading to death.

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Written by Zhang Hui
Neurology
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Determination of Senile Dementia

The assessment of dementia primarily encompasses three aspects: The first aspect mainly involves relevant neurological scales, which can scientifically and effectively measure the cognitive functions of elderly patients. These scales include the MSE (Mini-Mental State Examination) and the MoCA (Montreal Cognitive Assessment). The second aspect of the assessment involves some imaging tests, mainly cranial MRI scans. Cranial MRI can determine if there is brain atrophy in the elderly and examine for any related lesions in the temporal lobes and hippocampi. The third major aspect involves the analysis of cerebrospinal fluid, assessing the levels of amyloid proteins, which also play an important role in the assessment of dementia. In summary, the assessment of dementia primarily involves evaluations using neurological scales, cranial MRI, and cerebrospinal fluid analysis.

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Written by Zhang Hui
Neurology
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What is the greatest fear in Alzheimer's disease?

Dementia in the elderly is a common neurodegenerative disease worldwide. It is a clinical syndrome caused by the irreversible death of brain neurons due to various factors. Initially, the main symptom in patients is impaired memory function, which at this stage does not significantly affect work and life, and is not overly concerning. As the disease progresses, the cognitive functions of the elderly, including visuospatial skills, calculation abilities, and executive functions, are notably impaired. Changes in personality and behavior also occur. What is most feared in dementia? It is particularly concerning when elderly individuals go out on their own and then cannot find their way home, leading to situations where they may become lost. If the elderly are unable to find adequate food outdoors, or if the weather is too cold or too hot, their life safety can be severely threatened. Additionally, dementia patients might inadvertently turn on the gas at home and forget to turn it off, which can easily lead to accidents. These are the most feared incidents related to dementia in the elderly.

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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.)