What is Dementia?

Dementia

Dementia is a collective medical term used to describe cognitive decline caused due to the damage of nerve cells in the brain. The disease is characterised by memory loss. But memory loss might have other causes and can not be the only deciding factor of Dementia.

What are the symptoms of Dementia?

Cognitive Symptoms

memory loss
Memory loss
Communication difficulties
Communication difficulties
spatial abilities decline
Visual and spatial abilities decline
Disorganised or difficulty
Decline in problem solving abilities
Difficulty handling
Difficulty handling complex tasks
Disorientation
Coordination and motor function decline
Confused state
Confusion
Disorientation
Disorientation
Decline in problem solving
Disorganised or difficulty staying organised

Psychological Symptoms

Brain cell death can lead to dementia. Most neurodegenerative diseases, progressive brain cell death that occurs over time, is associated with most dementias. It is however not known if brain cell death is the cause of dementia or if dementia causes brain cell death. Dementia can also be caused by:

  • Head injury
  • Stroke
  • Brain tumor; among other causes
  • Prion disease – For example, Creutzfeldt-Jakob disease
  • HIV infection
  • Reversible factors

A few risk factors can be addressed and reduced to prevent Dementia to an extent.

Factors that can not be reversed

  • Age
  • Family History
  • Down Syndrome

Factors that can be reversed

  • Diet and exercise
  • Alcohol abuse
  • Depression
  • Diabetes
  • Smoking
  • Sleep Apnea
  • Vitamin and nutritional deficiencies
  • Cardiovascular risk factors

A proper diagnosis of dementia requires at least two out of the core mental functions to be impaired to intervene with daily living

  • Memory
  • Language skills
  • Ability to focus
  • Reasoning and problem solving
  • Visual perception

Neurological evaluation to determine the decline of the core mental function is done through the following tests

  • PET scan
  • CT Scan
  • MRI
  • Psychiatric evaluation
  • Lab tests to exclude other causes

Most of the types of dementia do not have a cure. The symptoms can, however, be managed through medication and therapy.

Medication

  • Donepezil
  • Rivastigmine
  • Galantamine
  • Memantine
  • Vitamin D and Omega – 3 rich food

Therapy

  • Pet
  • Music
  • Aroma
  • Art
  • Massage