precursors of senile dementia

Written by Zhang Hui
Neurology
Updated on September 05, 2024
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The diagnosis of senile dementia must first meet the diagnostic criteria for dementia, primarily characterized by impairment in multiple cognitive areas such as memory, language skills, executive function, and computational ability, and these impairments affect daily life; this is called senile dementia. Before dementia occurs, there are some precursory signs, mainly slight declines in memory. For example, patients might occasionally forget to bring keys when going out, or forget to turn off the stove while cooking. These mild memory impairments are some of the precursors to senile dementia. Additionally, there is a decline in learning ability, including the symptoms of learning new knowledge and mastering new skills; these declines are also precursors to senile dementia. Therefore, the precursors of senile dementia can primarily be summarized as a slight decline in memory function and some slight decline in learning ability.

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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 Tang Bo
Neurology
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How long is the lifespan of someone with Alzheimer's?

The causes of dementia in the elderly can be varied, with many diseases such as Alzheimer's disease, Parkinson's disease, and vascular dementia, all leading to senile dementia. Therefore, how long one lives may require specific analysis. If the dementia is due to cerebrovascular factors, the lifespan of the individual may be closely related to the primary disease, i.e., cerebrovascular disease. Dementia caused by Alzheimer's disease progresses with the disease and affects the patient's lifespan. In its advanced stages, when the patient can no longer take care of themselves, complications such as lung infections can further impact their lifespan. There are also other factors, which need to be assessed based on the evaluation of the disease.

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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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Alzheimer's disease is also called dementia.

Alzheimer's disease, also known as dementia in the elderly, was first identified abroad and thus named after the discoverer, Alzheimer. It is one of the most common neurodegenerative diseases in neurology, with a very high incidence among people over 65 in China and worldwide. The disease mainly affects patients' cognitive functions. Initially, patients do not meet the criteria for dementia and primarily exhibit a decline in memory. As the disease progresses, the decline in memory worsens, and patients begin to forget both recent and past events. Additionally, they may experience impairments in visuospatial abilities, judgment, comprehension, and learning capabilities. In the later stages, psychiatric symptoms and personality changes may appear, such as visual hallucinations, shouting, and gesturing wildly, among various other clinical manifestations.

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Written by Zhang Hui
Neurology
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What to do about senile dementia?

For patients with dementia, if the diagnosis is confirmed, the recommended treatment is as follows: First, it is very important to pay attention to nursing care. Patients with dementia often get lost, which can lead to a series of dangers, so it is necessary to take good care of them to prevent getting lost. Secondly, for the improvement of cognitive functions, it is recommended to use some cholinesterase inhibitors, which can increase the level of acetylcholine in the brain and improve the patient's cognitive functions to a certain extent. Third, symptomatic treatment should also be provided. Since patients with dementia often exhibit psychiatric symptoms, such as visual and auditory hallucinations, appropriate antipsychotic medications can be used for treatment. (Please use medication under the guidance of a professional physician.)