Can dementia be cured?

Written by Zhang Hui
Neurology
Updated on June 26, 2025
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The most common disease causing dementia in the elderly is Alzheimer's disease. This disease has a very high prevalence rate both in China and globally. Currently, there is no cure for this disease, and the symptoms typically worsen progressively. However, there are measures that can be taken to possibly slow the progression of the disease, improve the cognitive functions of patients, enhance their quality of life, and reduce the burden on families. The common treatment methods for dementia are as follows.

The first point involves pharmacological treatments, mainly using cholinesterase inhibitors, which can improve cognitive levels to some extent. If the patient exhibits psychiatric symptoms, some antipsychotic medications can be applied.

Secondly, these patients should also engage in behavioral therapies, such as learning more, reading more, participating in more outdoor activities, and interacting more with others, which can also achieve the effect of slowing the progression of the disease.

(Please use medication under the guidance of a professional physician and do not self-medicate.)

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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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Is senile dementia hereditary?

The disease referred to as dementia mainly refers to Alzheimer's disease. Only a very small number of cases are hereditary, where patients have a certain family history caused by genetic mutations, thus having some hereditary traits. However, the vast majority of Alzheimer's cases are sporadic, unrelated to genetic mutations, and these sporadic cases are not hereditary, so there is no need to worry about transmitting it to offspring. Nevertheless, it is important to note that, with the progression of population aging, the incidence of this disease remains relatively high, especially for those over the age of 65, who need to pay close attention to this disease. If a patient exhibits a decline in memory function, do not assume it is just forgetfulness; it is crucial to visit a hospital for diagnosis and timely treatment.

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Written by Zhang Hui
Neurology
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Early signs of dementia

Dementia in the elderly, mainly refers to Alzheimer's disease. Early signs of this condition may manifest as some forgetfulness. For example, a patient might forget to add salt while cooking, or forget to bring their keys when leaving the house. These clinical signs should be highly alarming and should not be dismissed as mere forgetfulness, ignoring further examinations and treatments. It is recommended that if the elderly show signs of diminished memory function, they should promptly visit a hospital. Comprehensive assessments and further tests, including brain MRI scans, should be conducted to check for significant atrophy in brain areas such as the temporal lobes and hippocampus. If dementia is diagnosed, prompt intervention and treatment should be pursued.

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Written by Zhang Hui
Neurology
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early signs of dementia

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 Zhou Yan
Geriatrics
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Causes of Alzheimer's Disease

The causes of Alzheimer's disease are related to multiple factors. For instance, advanced age is the most significant risk factor for Alzheimer's disease, with the incidence increasing by 5% with each additional year. Secondly, it is related to gender, with women being more prone to Alzheimer's disease. Additionally, there is a certain relationship with genetics. The fourth factor is vascular factors, such as hypercholesterolemia, hyperhomocysteinemia, diabetes, and hypertension. The fifth factor is lifestyle, including smoking, excessive drinking, diet, sleep disorders, depression, and obesity, all of which are risk factors for Alzheimer's disease.