symptoms of senile dementia

Written by Zhang Hui
Neurology
Updated on April 27, 2025
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The symptoms of dementia mainly include the following aspects:

First, there is evident impairment in cognitive functions, primarily involving memory decline. Initially, it may predominantly affect recent memory, with patients often forgetting recent events. As the disease progresses, they may start forgetting events from the distant past as well. Additionally, patients may experience a decline in calculation skills, judgment, execution, and comprehension abilities; their capacity to learn and work is comprehensively impaired. Spatial dysfunction can also occur, causing disorientation and frequent episodes of getting lost.

Secondly, in the later stages, patients may display changes in behavior and personality, alongside corresponding psychological symptoms. For example, the patient might become aggressive, restless, and exhibit hallucinations visually and auditorily. Wandering at night is another common symptom.

Thirdly, in the later stages, patients might show clinical signs such as muscle atrophy and paralysis. Incontinence is also a common symptom.

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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 Tang Li Li
Neurology
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Methods for Examining Dementia in the Elderly

The examination of dementia mainly includes the following aspects. First, it is to determine whether the patient has cognitive impairment, because in the early stages of dementia this impairment is often mild, primarily in recent memory, with other aspects not yet obvious. Early screening can use some cognitive evaluation scales, such as the Mini-Mental State Examination or the Montreal Cognitive Assessment, chosen according to the patient's cultural level. Second, imaging examination, commonly using brain MRI, can reveal significant signs of dementia such as deepened brain sulci, narrowed gyri, and widened lateral fissures, indicating brain atrophy. Third, genetic testing for the APOE gene, which may be related to dementia. Possession of this gene may increase the likelihood of developing dementia in the future, serving as an auxiliary diagnostic measure.

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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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incidence of senile dementia

Dementia in the elderly has a very noticeable high incidence trend worldwide and in China, with many people over the age of 65 suffering from this disease. Statistics show that in Western countries, the incidence of dementia in the elderly might be around 3%-8%. In China, the incidence among the elderly over 65 may also be around 5%. Therefore, the number of elderly people suffering from this disease is very large, and thus it is essential to pay attention to this disease. This disease is mainly caused by the death of nerve cells due to many reasons. Currently, there is no effective cure for this disease, but there are some drugs that can alleviate the symptoms. These drugs mainly include cholinesterase inhibitors, which can increase the content of acetylcholine in the brain, improving the level of cognitive function in patients. Additionally, symptomatic treatment should be noted to prevent lung infections, malnutrition, and other complications in the elderly.

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Written by Zhang Hui
Neurology
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Can senile dementia be cured?

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.