Download
the least you need to know about dementia n.
Skip this Video
Loading SlideShow in 5 Seconds..
“The Least You Need to Know" about Dementia PowerPoint Presentation
Download Presentation
“The Least You Need to Know" about Dementia

“The Least You Need to Know" about Dementia

122 Views Download Presentation
Download Presentation

“The Least You Need to Know" about Dementia

- - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

  1. “The Least You Need to Know" about Dementia Jack Twersky, MD Medical Director CLC Durham

  2. Dementia: DSM IV Criteria • Memory impairment and at least one of the following • Aphasia • Apraxia • Agnosia • Executive function • Impairment • Decline • Delirium

  3. The Dementias • Common Dementias • Alzheimer Disease • Lewy Body Dementia • Vascular Dementia • Mixed Dementia • Frontotemporal Dementia • Parkinson Disease • Less Common Dementias • Alcohol Related Dementias • Traumatic Brain Injury • Normal Pressure Hydrocephalus* • Brain tumor • Paraneoplastic Syndrome • Cancer Treatment • Huntington Disease • Progressive Supranuclear Palsy

  4. Alzheimer Disease • Early stage- gradual memory loss. language errors, impaired IADLs, worsening visual spatial-perception • Middle stage- apraxia, disorientation, impaired judgment • Advanced stage- dependent in ADLs, loss of ability to ambulate and swallow

  5. Lewy Body Dementia Dementia Visual hallucinations Parkinsonism Cognitive fluctuations Dysautonomia Sleep disorders Neuroleptic sensitivity

  6. Vascular DementiaNINDS-AIREN • Dementia • Cerebrovascular disease • presence of focal signs on neurologic examination, • evidence of relevant CVD by brain imaging (CT or MRI) • + Relationship between the two • onset of dementia within three months following a stroke • abrupt deterioration in cognitive function or stepwise progression of cognitive deficits.

  7. Frontotemporal DementiaClinical Diagnostic Features • Insidious onset and gradual progression • Early decline in social interpersonal conduct • Early impairment in regulation of personal conduct • Early emotional blunting • Early loss of insight