Dementia

Question 1

Q. What’s the most common cause of dementia?

Answer 1

50-70% of cases are caused by Alzahimers disease, 20-30% by multi infants dementia

Question 2

Q. Rapidly progressive untreatable dementia + motor dysfunction + EEG changes + death in 6-12months. What’s your diagnosis?

Answer 2

Creutzfeldt Jacob disease ( CJD )

Question 3

Q. What will you find in autopsy for CJD ptn?

Answer 3

Spongiform change in the grey matter is the pathological hallmark of this disease
At autopsy the Cerebellum appears atrophic

Question 4

A. What’s the usual prescribed medication in case of Alzheimer’s dementia ?

Answer 4

cholinesterase inhibitor as ( donepezil, rivastigmine ) is the standard medication that works for both vascular and Alzheimer dementia. And it can be given at any stage of the disease, it also can delay the need for nursing homes by a year or more