Dementia Flashcards
1
Q
Typical dementia presentation
A
Impaired memory - repeating conversations - misplacing belongings Language impairment Visuospatial impairment Changes in personality Concentration and executive function
2
Q
Reversible causes of dementia
A
Alcohol dependence Hypothyroidism Vitamin B 12 def Neurosyphilis NPH Depression
3
Q
How does alcohol dependence cause dementia
A
Direct toxic effects on brain cells
Stress of repeated intoxication and withdrawl
Alcohol related CV disease
Head injuries sustained
4
Q
What syndrome can be in alcohol dependent individuals and what vitamin def is ass. with this.
A
B1/thiamine –> Korsakoff syndrome
5
Q
History of NPH (normal pressure hydrocephalus)
A
Typically in elderly Wet= incontinence Wacky= dementia Wobbly = gait apraxia Headache and other signs of increased ICP
6
Q
What would CT or MRI show of NPH?
A
Ventriculomegaly of all ventricles
Patent cerebral aqueduct
