L11: Dementia Flashcards
Def of Dementia
Age of Dementia
Types of Dementia
Etiology of Dementia
Etiology of Dementia
- 1ry Neurodegenerative Diseases
- Alzheimer’s ds.
- Dementia with Lewy bodies
- Fronto-temporal dementia
- Parkinson’s ds
Etiology of Dementia
- Vascular
- Infarction
- Hemodynamic insufficiency
Etiology of Dementia
- Treatable Causes
Etiology of Dementia
- Neurological
- MS
- Normal pressure hydrocephalus
Etiology of Dementia
- Endocrine
Hypothyroidism
Etiology of Dementia
- Nutritional
Deficincy of
- Vit B12
- Thiamine
- Niacin.
Etiology of Dementia
- Infectious
- HIV
- Prion disease
- Neurosyphilis
- Cryptococcus
Etiology of Dementia
- Metabolic
- Hepatic/Renal Insufficiency
- Wilson’s disease
Etiology of Dementia
- Traumatic
- Subdural hematoma
- Dementia pugilistica
Etiology of Dementia
- Toxic Agents
- Alcohol
- Heavy metals
- Anticholinergic medications
- СО
Compare between Cortical Dementia & Subcortical Dementia
Compare between Cortical Dementia & Subcortical Dementia
- Symptoms
Compare between Cortical Dementia & Subcortical Dementia
- Affected Regions
Compare between Cortical Dementia & Subcortical Dementia
- Examples
Affected Regions in Mixed Dementia
Both cortical and sub-cortical area involved.
Examples of Mixed Dementia
- Vascular dementia.
- Dementia with Lewy bodies.
- Cortico-basal degeneration.
- Neurosyphilis.
Classification of Dementia
Classification of Dementia
- Reversible Causes
Classification of Dementia
- Irreversible Causes
Dx of Dementia
Dx of Dementia
- History
- Clinical history
- Symptoms analysis
Dx of Dementia
- Examination
- Focused physical examination
- Cognitive & Neuropsychiatric examination
Dx of Dementia
- INVx
- Lab & Neuroimaging
- Neurological examination
- Neuropsychological testing
Dx of Dementia
- Symptoms
Focused History in Dementia
Focused Examination in Dementia
Cognitive & Neuropsychiatric Examination in Dementia
- Folstein Mini-Mental Status Examination (MMSE) for screening of cognitive function.
Neurological examination Correlate imaging with clinical examination.
….
MMSE
INVx in Dementia
INVx in Dementia
- Labs
INVx in Dementia
- Imaging
DDx of Dementia
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Compare Between Dementia & Delirium
- Onset
- Course
- duration
- Attention
- Level of Arousal
- Sleep-Wake Cycle
- Visual Hallucinations
- tremors
- Myoclonus
- Seizures
Diagnostic Approach for Cognitive Impairment