Investigation And Treatment Of Cognitive Syndromes

Question 1

History for dementia

Qs to ask

Answer 1

Is there a problem

Which cognitive domain affected

Time scale

Cortical versus subcritical

Difficult with high functioning individuals

Difficult with anxiety and depression

Question 2

Frontotemporal dementia features

Answer 2

Early behaviour disinhibition
Early loss of empathy and emotions reactivity

Perseverative,stereotyped or compulsive behaviour.

Other cognitive areas well preserved - cab score 30/30 on MMSE

Question 3

Vascular dementia how common and when does it occur

Answer 3

Second most common

Post large vessel stroke

Chronic small vessel ischaemia

Question 4

HANDs are

Answer 4

HIV related neurocognitive disorder

Spectrum of disorders from asymptomatic neurocognitive impairment to HIV associated dementia

Question 5

How to treat HANDs

Answer 5

HAART

Question 6

How does epilepsy effect cognitive

Answer 6

Cognitive impairment is common

AAEDs have cognitive side effects

Question 7

In old age which emotional factors affect cognition

Answer 7

Depression and anxiety