What Is Lewy Body Dementia Stages , Symptoms , Prognosis

What Is Lewy Body Dementia Stages - Dementia with Lewy bodies (DCL) is a disease, or degenerative and progressive brain syndrome that shares some symptoms with other illnesses and which sometimes overlaps with these, above all, with two common diseases among our elders: Alzheimer's and Parkinson's. With this article, we try to clarify this concept and to know what is this type of dementia that can also be found under the name of variant of Lewy body dementia of Alzheimer's disease, diffuse disease Lewy body, disease, cortical Lewy or senile dementia of Lewy body type bodies.

What Is Lewy Body Dementia

It is a neurodegenerative disease progressive that includes behavioural symptoms and memory of Alzheimer's type dementia and, in greater or lesser degree, the Parkinson's-like symptoms of the motor system, as well as presence of very vivid visual hallucinations are usually.

What Is Lewy Body Dementia Stages , Symptoms , Prognosis

These parkinsonian signs are, perhaps, the most characteristic feature of dementia with Lewy bodies. In some cases, precede dementia, either subtle or notorious, and patients are diagnosed during a time of Parkinson's disease, with little or transient response to the L - Dopa. Predominant rigidity, appearing early in more than half of the cases, bradykinesia, lack of facial expressiveness, disorders of posture, March and postural reflexes and, to a lesser extent, the hypophonic and tremor. These traits can also give you in Alzheimer's disease, but are more mild and late.

The fluctuations of the cognitive performance of these patients arise from one day to another or, even, on the same day and frequent confusional pictures of unknown origin, not attributable to external factors or medical defined.

Diagnostics

Diagnostic criteria reviewed for this dementia according to the consortium of dementia with Lewy bodies (2005) are as follows:

Essential feature

-Dementia defined as progressive cognitive impairment of sufficient magnitude to interfere with normal social or occupational function.

-Alteration of prominent or persistent memory that may not necessarily occur in the early stages, but tends to be evident with the progression.

-Attention, executive function and capacity visuospatial deficits can be specially marked.

Central traits (two are sufficient to diagnose dementia with Lewy bodies likely, one for possible Lewy body dementia):

-Fluctuations in cognitive function with variations in attention and alert.

-Recurrent, typically well made and detailed visual hallucinations.

-Spontaneous Parkinsonism features.

Features suggestive (if one or more in the presence of one or more central traits, diagnosis of probable Lewy body dementia can be. In the absence of Central traits, one or more allow the diagnosis of possible Lewy body dementia. Not can be diagnosed with probable Lewy body dementia only with suggestive features):

-REM sleep behavior disorder.

-Strong sensitivity to neuroleptic.

-Reduction of the re-uptake of dopamine in the basal ganglia demonstrated by SPECT or PET transporter.

Features of support (they tend to be present, but their diagnostic specificity has not been shown):

-Falls and syncope recurrence.

-Transitional and unexplained loss of knowledge.

-Important autonomic dysfunction.

-Hallucinations in other modalities.

-Systematized delusions.

-Depression.

-Relative preservation of medial temporal structures in CT or MRI.

-Hypoperfusion in SPECT or PET perfusion with occipital and reduced activity.

-Diminished uptake in MIBG myocardial SPECT.

-Prominent activity of slow waves in EEG with temporary transitional sharp waves.

The diagnosis of dementia with Lewy bodies are less likely to:

-In the presence of apparent cerebral vascular disease, such as focal neurological signs or neuroimaging.

-In the presence of other systemic or neurological disease enough to justify in part or in its entirety the clinical picture.

-If Parkinsonism only appears for the first time at a stage of advanced dementia.

Temporal sequence of symptoms:

• Dementia with Lewy bodies should be diagnosed when dementia occurs before or at the same time as Parkinsonism (if it is present). Dementia that occurs in the context of a well-established Parkinson's disease must be labeled in Parkinson's disease with dementia.
• In general, the disease begins between 50 and 80 years.
• The blend of clinical features and their order of appearance in the course of the disease can vary from patient to patient, depending on where the histopathological lesions are localized predominantly.
• It is a slowly progressive disease for which, at the moment, there are no ways of prevention and cure methods, although multiple research studies that are examining new drugs that alleviate the symptoms and stop the progression of the disease are being developed.

You can read another articles like  Vascular Dementia, What Causes Of Dementia, What is dementia, What Are The Signs Of Dementia.


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What is dementia

What is dementia ? - Before defining what is Alzheimer's disease, we must understand what is "dementia". Over the centuries, the term of dementia was used with several meanings.

What is dementia ?

Derived from the latin, the story attributed to Esquirol (19th century) the differentiation between mental retardation and dementia. At the beginning of the last century, these pictures are defined as a general syndrome which affects the powers of understanding, memory and understanding. This broad concept spread joining psychiatric terminology until he said partly when Morel describes the dementia praecox in 1856.

What is dementia

Currently, in the medical community used the term "dementia" to describe patients with disorders of intellectual capacity. It is important to note that dementia is not a normal condition of the aging process. Dementia disorders are caused by abnormal pathological processes and can affect both young people as to the elderly.

The Real Academia Española defines dementia as "madness, disorder of reason". Within the meaning of medicine and psychology, is defined as the "impairment progressive and irreversible mental faculties that causes serious behavioural disorders". Thus, the term dementia is applied to the progressive deterioration of the whole of intellectual functions (memory, attention, judgment and reasoning ability) and the consequent behavior disorders.

You can read another articles like  Vascular Dementia, What Causes Of Dementia, Depression and Dementia, What Are The Signs Of Dementia.






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What Causes Of Dementia - Reversible Causes Of Dementia

What Causes Of Dementia - It is a form of vascular dementia: mental functioning caused by stroke damage (affect the arteries of the brain or that reach the same).

What Causes Of Dementia

Multi-infarct dementia is the most common form of vascular dementia and the second most frequent reason for dementia (after Alzheimer's disease) in people over 65 years.

What Causes Of Dementia - Reversible Causes Of Dementia

It is estimated that 10-20% of all dementias are caused by strokes. Multi-infarct dementia affects more men than women and usually between 55 and 75 years.

"Multi-infarct" means that many areas in the brain have been injured due to the lack of blood.

Risks

Risks include a history of:

• hardening of the arteries (atherosclerosis);
• high blood pressure;
• smoking;
• stroke.

Some research suggests that this insanity can generate or accelerate the advance of Alzheimer's disease; It can also be diagnosed as Alzheimer's disease, either happen both diseases at the same time.

• Symptomps Of Dementia
• Confusion in the evenings.
• Decrease in the ability to function independently.
• Low interest in the activities of everyday life.
• Difficult to discern.
• Extreme emotional disturbance (agitation).
• Frustration, depression, anxiety, stress and tension by the loss of mental function.
• Inability to be spontaneous.
• Lack of emotion.
• Loss of memory.
• Numbness or tingling.
• The memory loss slowly progressive and confusion, disorientation, degression of multifunction
• brain, difficulties with attention, concentration, discernment and behavior.
• Difficulty thinking.
• Delusions.
• Hallucinations.
• Changes in personality.
• Problems with language (aphasia).
• Weak or uncoordinated movements.
• Difficulty swallowing.
• Laughing or crying sudden and involuntary.
• Urinary incontinence.
• Isolation of social interaction.
• Abnormal reflexes.
• Periods of rapid worsening alternated with others stable of very little change.
• Weakness or loss of function on one side of the body, in an area or many.

Treatment For Dementia

There is no treatment. The objective is to control symptoms and correct the risk factors such as high blood pressure and high cholesterol. Some patients may need hospitalization for a short time.

Suspension or changing medications that worsen or cause confusion improves mental functioning. Drugs that may give rise to confusion include:

• anticholinergics (including antidepressants such as amitriptyline or imipramine);
• central nervous system depressants;
• cimetidine;
• lidocaine;
• pain relievers.

Certain disorders contribute to the confusion, among others:

• anemia;
• heart failure;
• infections;
• decrease of oxygen;
• depression;
• nutrition and thyroid disorders.

Treatment of medical or mental disorders improves mental functioning.

Medications may be needed to control aggressive, agitated or dangerous behaviors. The doctor prescribes these drugs at very low doses, with adjustments as necessary. Such medications may be:

• antipsychotics (olanzapine, quetiapine);
• Beta-blockers;
• medication that affects serotonin (a neurotransmitter that have to do with the mood): trazodone, buspirone or fluoxetine.

It has not been proven that the medications used to treat Alzheimer's disease are effective against this insanity.

It is possible that the use of hearing aids, glasses or cataract surgery is necessary if you have sensory issues.

Home care

Having people you trust and familiar objects around.
Leave the lights on at night.
Stick to a simple schedule of activities.
Use behavior modification to control unacceptable or dangerous behaviors.
Facilitate the orientation of reality with environmental references.

Expectations

The disorder worsens with time.

Death can occur by:

• heart disease;
• pneumonia or other infections;
• stroke.

Complications

• Heart disease
• Infections anywhere in the body
• Loss of ability to function or care for self
• Loss of ability to interact
• Pneumonia
• Reduction of the period of life
• Side effects of medications
• Stroke

Situations requiring medical assistance

A sudden change in mental status requires urgent medical attention.

If treatment is received within three hours of the onset of symptoms, reduces the damage caused by strokes.

Prevention

Treat the conditions that increase the risk of hardening of the arteries (atherosclerosis):

• control high blood pressure and weight;
• reduce saturated fat or salt in the diet;
• treat related disorders.

You can read another articles like  Vascular Dementia, Dementia Strategy, Depression and Dementia, .Treatment For Dementia. 


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What Are The Signs Of Dementia

What Are The Signs Of Dementia - Memory and language tests can reliably identify "hidden" signs of early dementia, claim British scientists.

Most dementias go unnoticed for years because the symptoms are elusive and are only identified until they cause considerable damage to brain tissue.

But a team of researchers from the University of Oxford, England, discovered that if they carried out an analysis sufficiently detailed they could identify the warning signs of early disease.

What Are The Signs Of Dementia

The discovery - published in the journal Neurology - could help doctors to diagnose dementia sooner, which is crucial because the treatments are more effective if they are in the early stages of the disease.

For a period of 20 years, scientists studied a group of 241 healthy elderly volunteers subject to regular tests designed to measure their intellectual and cognitive powers.

When they analyzed the results of the tests, the researchers found subtle key who, in retrospect - say - indicate a subsequent disability.

Language problems

Specifically, patients who developed a mild cognitive disabilities or "pre-dementia" had problems in tasks requiring expression, learning and language learning.

For example, they showed much difficulty to remember the name of common or animal objects and to explain the meaning of a certain word.

And those who were older and had lower scores on tests of memory or language tended to deteriorate more rapidly, say scientists.

Professor David Smith, who led the research, said that their findings confirm what you already know about dementia.

It has shown that in early stages of dementia are associated with language problems, such as difficulty to remember a Word.

The literary works of authors who were diagnosed with Alzheimer's disease in later years of his life showed similar changes in the use of language, such as simpler narratives and poor vocabulary.

Early diagnosis

Experts say that these findings may be an important tool to be able to detect early disease.

"This important long-term study shows that subtle but measurable, problems of language or memory can predict when a healthy elderly person is likely to develop mild cognitive disabilities, which often lead to dementia," said Rebecca Wood of the Alzheimer´s Research Trust organization.

"Early intervention will be crucial for future dementia treatments" he adds.

"The ability to detect and measure the initial stages of dementia is a crucial challenge if we want to improve treatments and establish the basis for prevention methods."

It is believed that dementia affects 1 in 20 people over 65-year-old and 1 of every 5 of more than 80. In total, it is estimated that more than 30 million people suffer from the disease worldwide, and it is believed that for the year 2050 the figure can reach more than 100 million.



You can read another articles like  Vascular Dementia, Dementia Strategy, Depression and Dementia, Signs Of Dementia.



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Vascular Dementia - What Is Vascular Dementia

Vascular Dementia - Dementia disease is very named today, and almost all of us have affected relative of this disease, in its multiple forms.

It covers conditions of very different types and clinical manifestations, as well as a bottomless pit of associated pathologies. Alzheimer's disease, the disease of bodies of Levy, senile dementia, vascular dementia, disease of small glass, are different variants of dementia. The fact of giving name us can be oriented on the evolution over time of the disease, and clinical manifestations, but the important thing will always treat the symptoms, so that the patient has a good quality of life and a minimum level of dependence on others.


According to Wikipedia, the dementia is defined as the progressive loss of cognitive functions, due to damage or brain disorders. Although the type of cognitive impairment most we see in our service is caused by vascular dementia, since, progressively going demonstrating brain damage acquired, in the form of cognitive and behavioural changes fundamentally.

vascular dementia

Vascular dementia appears as a result of microscopic small infarcts, tiny stroke or bleeding, which go unnoticed for the patient, but after the time of having been continued, giving as a result already larger involvement of a brain area, which Yes will start to have clinical consequences. It is the case of patients who for years are good, but who begin to have small oversights of memory, to be slower, to have some specific behavioral alterations, or be more irritable, more suspicious, more apathetic.

The causes of these microinfarctions or microictus are multiple, summarized in cardiovascular risk factors: hypertension, diabetes, smoking, sedentary lifestyle, emotional stress, high cholesterol, high uric acid, etc.

As it happens in the movement of the entire body, brain blood vessels are affected by all these factors. High blood pressure causes blood vessel have to withstand a pressure of fluid higher than normal for a long time. Imagine a pipe that carries water to our home, and why should circulate water at a speed of 10 kilometers per hour. However, the speed that enters water going through the pipe, and walk the path that is 100 km per hour. The tension that is supporting the pipe is much larger than that for which it was built, which puts it in danger of power pop. Let us take this same example for when we talk about our bloodstream, which carries the blood to the brain. Also occurs with high cholesterol, which for a long time in blood at the end sticks to the walls of the "pipes", making them more weak, also putting them in danger. Or the same thing with smoking, sedentary lifestyle and emotional stress, that make our "pipes" are narrowing increasingly.

Vascular Dementia - What Is Vascular Dementia

However, if these vascular accidents occur in tiny vessels, supplying small brain areas, what notice will not be much. Instead if they continuously in time, appear problems because many small infartitos will cause that large areas will be damaged. Here the explanation of those cognitive and behavioral problems that appear in a progressive way in time.

How To Prevent It ?

First of all: controlling cardiovascular risk factors. We should live a healthy life: stop smoking, drinking alcohol in large amounts, control high blood pressure, take a healthy diet low in saturated fat, good control of sugar in diabetics, a proper weight, do sedentary too, and manage stress of the day will help us to have a healthy brain blood circulation and to not give us problems in the long run.

In case of longer present symptoms, it is important to start the control of cardiovascular risk factors, and also go to a centre specializing in the treatment of brain damage, which can advise us the most appropriate therapeutic option.

You can read another articles like  Treatment For Dementia,  Dementia Strategy, Depression and Dementia, Signs Of Dementia.





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Treatment For Dementia - Dementia Treatment

Treatment For Dementia - For the sufferer of dementia need to know useful treatments of homeopathy as an adjuvant treatment without unwanted side effects. Homeopathy can also be committed to the emotional suffering that is not always visible as present in these patients. Senile dementia is a degenerative process that progressively destroys brain cells, making the individual who is suffering, incapable of normal lives. The increasing prevalence of the disease in the general population worldwide is accompanied by an enormous growth of its economic and social cost. The course of senile dementia can be different, on time and in the manner for each individual patient. The disease usually begins with an MCI, Mild Cognitive Impairment that is a slight deficiency of different cognitive functions like memory, orientation and verbal skills. A MCI is still frequent in the elderly population and in itself is not necessarily indicative of incipient dementia. The disease manifests in following his debut as characterized by progressive dementia, amnesia, and other cognitive deficits more pronounced. Intermediate and advanced stages of senile dementia in addition, behavioral problems and may occur as the psychic disorientation in space, over time or in reports. In these conditions you add progressive difficulties even in the care of the person. The cognitive deficits and behavioural studies, in more advanced stages you add internal medical complications, ultimately leading to a progressive impairment of health in patients with senile dementia.

Treatment For Dementia - Dementia Treatment

The disease is due to widespread destruction of neurons due to various causes. The consequence of these brain changes is impossible for the neuron to transmit nerve impulses, and then death, resulting in progressive atrophy. Senile dementia in Alzheimer's disease is characterized for example by a decrease in weight and in brain volume, due to cortical atrophy, also visible in a corresponding enlargement of the flattening of grooves and convolutions. At the microscopic level, are found in neuronal depletion and plaques of amyloid substance. This presents not amyloid natural features but tends to settle in extracellular aggregates on neuronal membrane damaging them irreversibly. Conventional medicine has no treatment or effective remedies for senile dementia, but manages its clinical complications. You can, in fact, improve the quality of life of patients and try to slow down the course especially in the initial stages and intermediate. In this sense to integrate assistance and parental care is vital to the clinical course. A clear information to family members, a good working alliance with the medical staff is appropriate for a durable and effective for assistance.

Although homeopathy remedies cannot be considered specific treatment for the senile dementia they encourage the sufferer expresses the multifarious hardships when nonspecific that can accompany the disease. The remedies of homeopathy contribute to general well-being, fundamental to slow down his progress over time. Often there is also a marked feature in dementia senilie psychic is up for both emotional expression defect.

Modulation of this aspect is equally relevant to patients. Homeopathic remedies are not indicated only for a single never symptom. Homeopathy for Act must consider the totality of the symptoms expressed by dementia sufferer especially distinguishing those related to his personality. In fact, a State of irritation, melancholy or anxiety encourage that State of conflict, at the base of which may be negative interference with the course of the disease. The characteristic of senile dementia is a progression as a pathological condition in indent. The loss of faculty due to reposition the patient in the condition of the child until they reach more advanced stages of learning and level of autonomy.
In materia medica of homeopathic remedies do not exist for the treatment of senile dementia since this condition was not described by that name at the time they were done the homeopathic prooving. None the less there are remedies to similar symptomatology related or similar. They are, in fact, just the other particularities of life and diseases previously expressed by the patient to determine the remedies of homeopathy.

l method of homeopathy is based on prescribed remedies for the sick, not the disease. In this sense, the choice of which take between many remedies of homeopathy and what are the doses indicated should be reserved for a medical expert. He relies for this work a complete medical examination, diagnostic and instrumental regarding the choice of remedies of homeopathy by a tool called homeopathic Repertory. Once the Repertoire was a great book on homeopathic physician, today it is a database present in his computer. The prescription in homeopathy has success in therapy when they are properly repertorizzati all the symptoms of the patient, with special attention to those that do not involve any dementia. The simillimum is that among the remedies of homeopathy, which corresponds to both the current clinical and earlier clinical and especially coincides with the personality expressed by patient. Through the materia medica and Repertory the doctor investigates even beyond the physical aspects of the disease, including emotional fields and the biological conflicts suffered.

Adjuvant treatment of senile dementia with homeopathic remedies do not contradict it replaces the guidelines of conventional medicine. On the contrary, homeopathy establishes with a virtuous synergy and an extraordinary opportunity at the level of prevention.

You can read another articles like Medication For Dementia,   Dementia Strategy, Depression and Dementia, Signs Of Dementia.




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Signs Of Dementia - Signs Of Early Dementia

Signs Of Dementia - When a person forget things often during senescence is said to have dementia in general does not warrant studies and is sometimes considered as a normal part of aging. It is worth clarifying that the impairment of memory and brain function enabling relationship with the environment does not always is normal aging. In addition memory alterations are not unique to people of the third age. A characteristic of dementia is progressive and sometimes irreversible destruction of the cells of the brain, which leads to memory loss and other mental faculties without affecting consciousness but compromising family and work environments. It is frequently Alzheimer's but not the only cause. Hence the importance of analyze memory problems on early indications that some cases may be reversible.

Signs Of Dementia - Signs Of Early Dementia

Signs Of Dementia

• Decrease in recent memory that affects the performance on the job.
• Difficulties in the performance of family duties.
• Language problems.
• Disorientation in time and place.
• Poor or decreased judgment ability.
• Problems with abstract thinking.
• Loss of objects.
• Change in mood or behavior.
• Personality changes.
• Decrease of initiative.
• Intolerance of dementias
• Mild dementia
• Manifestations of mild dementia
• The person is disorienting in a place which is known.
• It reduces their effective capacity in Labour Office.
• Forgotten words when speaking.
• You can read but retains little information.
• It is difficult to remember names.
• Moderate dementia
• Clear deficiency in clinical intervention.
• Among others such as forgetfulness of recent events or data related to your personal history
• Difficulties in calculation as handling of money or checks.
• Alters to remember dates.
• Reduces complex activities e.g. Cook.
• The frequent Association of denial and lack of initiative.
• Not survive without assistance and does not remember his current life, such as address, phone, age, members of his family.
• Not presented difficulty to eat but if dressing.
• Severe dementia
• It depends on caregiver and don't know your name and your relationship.
• He remembers little of his past life.
• It is attended to daily activities.
• It has initially incontinence and require caregiver assistance.
• Presents changes in behavior, wanders, aggressive, apathy, misconceptions among others.
• When it is very advanced there is loss of communication e.g. Grunts or does not speak.
• There is loss of motor activities.
• It presents urinary and fecal incontinence.
• Conclusion
• The ageing of the population is global, the fastest growing population is over the age of 85, who estimates the year 2020 there will be about 1,000,000,000 senior of which 20% will be in Latin America and Africa.

It is clearly established that women live more a difference of 5 years, the causes are unknown.

There are various lines of research trying to find a cure for dementia, but so far there is no concrete results. Exception is no when it is deficiency of dietary supplements that are diagnosed in time, can be completely reversible.

You can read another articles like Medication For Dementia,   Dementia Strategy, Depression and Dementia, Early Signs Of Dementia Checklist. 





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Medication For Dementia - Acupuncture For Dementia

Medication For Dementia - Acupuncture for the treatment of dementia is only useful for certain aspects of suffering. Senile dementia is a degenerative process that progressively destroys brain cells, making the individual who is incapable of affection a normal life. The increasing prevalence of dementia in the general population worldwide is accompanied by an enormous growth of its economic and social cost. The course of deomenza can be different, depending on the cause, in the times and in the manner for each individual patient. The disease usually begins with a Mild Cognitive Impairment MCI, which is a slight deficiency of different cognitive functions like memory, orientation and verbal skills. A MCI is still frequent in the elderly population and in itself is not necessarily indicative of incipient dementia. Dementia occurs later on his debut as characterized by progressive dementia, amnesia, and other cognitive deficits more pronounced. Intermediate and advanced stages also, behavioral problems and may occur as the psychic disorientation in space, over time or in reports. In these conditions you add progressive difficulties even in the care of the person. The cognitive deficits and behavioural studies, in more advanced stages of dementia, adding internal medical complications, ultimately leading to a progressive impairment of health.

Medication For Dementia - Acupuncture For Dementia

Alzheimer's, one of the causes of dementia, is due to widespread destruction of neurons, caused mainly by the betamiloide, a protein that, settling between neurons interferes with their correct operation. The consequence of these brain changes is impossible for the neuron to transmit nerve impulses, and then death, resulting in progressive atrophy. Alzheimer's dementia is characterized by a decrease in weight and in brain volume, due to cortical atrophy, also visible in a corresponding enlargement of the flattening of grooves and convolutions. At the microscopic level in dementia from Alzheimer's disease, neuronal depletion can and plaques of amyloid substance. This presents not amyloid natural features but tends to settle in extracellular aggregates on neuronal membrane damaging them irreversibly. Conventional medicine has no effective cure for Alzheimer dementia, but manages its clinical complications. You can, in fact, improve the quality of life of patients and try to slow down the course especially in the initial stages and intermediate. In this sense to integrate assistance and parental care is vital to the clinical course. A clear information to family members, a good working alliance with the medical staff is appropriate for a durable and effective for assistance.

While acupuncture cannot cure dementia, it helps the sick when expressing a associated symptomatology characterized by physical or emotional pain. Joint pain and features you worsen, in fact, in a patient who cannot be cured by correcting posture and behaviours effectively. Acupuncture is an excellent anti-inflammatory and analgesic therapy without unwanted side effects, however. Often there is also a marked feature of both dementia psychic excess for both emotional expression defect. Modulation of this aspect by acupuncture is just as relevant to the patient. Acupuncture has also a muscle relaxant effect to anxiolytic. The emotional field more frequently observed in acupuncture in patients with dementia is the ipopaura. The characteristic of dementia is a progression over time as pathological condition in indent. The loss of faculty due to reposition the patient with dementia in the condition of the child until they reach more advanced stages of learning and level of autonomy. The extent of treatment with acupuncture is just due to the more advanced stage of the disease. The patient with dementia to draw a benefit from acupuncture must allow driving and permanence of the needles in for about 20 minutes to run. The practicability of acupuncture treatment depends on this. Acupuncture has anti-inflammatory effects, pain medication, muscle relaxants and sedatives that in different circumstances can be applied for the benefit of the sick. About the Alzheimer's dementia is considered with particular attention the anti-inflammatory effect of acupuncture not only for symptomatic treatments. In fact, the destrutturante action of betaamiloide on neuron is also in relation to an inflammatory reaction. Acupuncture if practiced by a doctor this method enabled, does not conflict with treatment guidelines, but instead cooperate fruitfully with them in an integrated management of patients.

You can read another articles like  Exercise And Dementia, Dementia Strategy, Depression and Dementia, Early Signs Of Dementia Checklist. 












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Exercise And Dementia - Physical Exercise For Dementia

Exercise And Dementia - Carers of people with neurodegenerative diseases is a key figure in the treatment and the improvement of the quality of life for these patients, whose work, arduous and silent rarely is recognized as it deserves.

Exercise And Dementia

In addition, in many cases, the fact of this task produces certain physical problems, that most of the time are not treated properly, by lack of time or the obligation of care to prepend to the person with the disease before their own health in caregivers.

For this reason, Jose Prieto, researcher of the Afycav Group (physical activity, quality of life and health) of the University of Extremadura has done a thesis dedicated to evaluate the physical condition and the quality of life of caregivers of patients with Alzheimer's disease and other dementias.

Exercise And Dementia - Physical Exercise For Dementia

This study arises from the need to know the type of activity that these people do to try to alleviate the negative effects provoked and has concluded that an exercise program adapted to a home environment and with the presence of an instructor would improve physical and psychological health of the caregivers, which reduces the chance of developing depression and anxiety.

The novelty of this research is that it directly impacts the physical exercise as therapy, unlike the rest of intervention studies for caregivers, who focus more on the training aspect or social support.

José Prieto explained that they employed nine months to evaluate the program of home care, which was assessed to 54 women caregivers, who were subjected to weekly sessions of 1 hour of exercise and who were compared with other 56 women not performing any type of physical activity.

According to experts, this study can be very useful if it is applied in the healthcare field and its results could see in a short period of time.

You can read another articles like  Dementia Diagnosis, Dementia Strategy, Depression and Dementia, Early Signs Of Dementia Checklist.










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Early Signs Of Dementia Checklist - First Signs Of Dementia

Early Signs Of Dementia Checklist - People in the early stages of dementia may not be able to distinguish the lies and sarcasm, says a new study. The findings could help doctors diagnose dementia, such as Alzheimer's, much before.

Early Signs Of Dementia

"If someone has a strange behavior and fail to distinguish things like sarcasm and untruth, consult with a specialist who can be sure that this is not the beginning of one of these diseases," said researcher Katherine Rankin, a Neuropsychologist at the University of California, San Francisco.

Rankin and his colleagues asked about 175 people, more than half of whom had a neurodegenerative, as the dementia disorder, watch videos of people talking. People recorded on video at times lying or wore expressions of sarcasm denoting with signs on their body and verbal language. Later, participants answered questions about what they had seen.

Early Signs Of Dementia Checklist - First Signs Of Dementia

Most healthy participants were able to distinguish the lies. But older adults with dementia that affects the frontal lobes - the seat of judgment and self-control in the brain - found it difficult to distinguish the difference between sarcasm, lying and the truth. People with frontotemporal dementia, which affects the frontal lobes, step especially difficult times, while those Alzheimer's patients responded better to the questions.

Using magnetic resonance imaging (MRI) images, the researchers found that the inability to detect sarcasm and untruth is related to the amount of damage in parts of the frontal lobe. A sudden naivety must be recognised as an early sign of dementia, said Rankin.

Rankin reported their findings on Thursday (April 14) in the 63 th meeting annual of the American Academy of Neurology in Hawaii.

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Different Types Of Dementia List Chart

Different Types Of Dementia List Chart - There are varied types of dementia. These are the most common:

Types Of Dementia

Alzheimer's disease

It is the most common cause of dementia in the West. The onset of symptoms usually occurs beginning at age 65, but in some patients it may occur before age 40 (in which case is usually associated with hereditary forms of the disease, which can occur in 25% of cases).

At the beginning the clinic is limited to occasional lapses of memory, but then sets an alteration of recent memory (capacity to store new information and retrieve it after a period of time) and learning ability, and with the passage of time remote memory will also be lost (to recall distant events).

Different Types Of Dementia List Chart

To learn more, see the section dedicated to Alzheimer's disease.

Fronto-temporal dementia (Pick's disease)
It is a degenerative alteration, characterized by the presence of abnormal substances, which are referred to as bodies and Pick cells, in the interior of some neurons located in the frontal and temporal lobes.

It typically affects patients in the ages of life; so, it is more frequent in patients dementia aged between 45 and 65 years old.

It is usually a dementia progressing slowly, and the main clinical alteration is in the sphere of personality; the most striking symptoms are:

• Difficulties in social relations, which leads to isolation.
• Compulsive and inappropriate behavior in different environments.
• Alterations in the control of emotions.
• Loss of executive capabilities.
• Involvement of the language from the early stages of the disease, which may be the first noticeable symptom.
• Deterioration of the ability to read and write, as well as decrease in vocabulary.
• Abrupt changes in mood.
• Muscle stiffness.
• Advancing disease, apathy is the symptom that dominates in the clinic.
• Alterations in recent memory and learning ability are usual.
• The diagnosis is based on the symptoms presented by the patient, since the compulsive behavior and emotional alterations are evident from the beginning of the disease. Tests that may be performed include: magnetic resonance imaging of the brain, electroencephalography (EEG), examination of the cerebrospinal fluid, computed tomography of the head, etc.

Cure for this disease, which comes to completely incapacitate the patient is no known. Treatment they used antidepressants and antipsychotic drugs to control the emotional ups and downs of the sick, as well as those drugs that help relieve other associated disorders like nutrition and thyroid problems, depression, infections, anemia, etc.

Vascular dementia

Vascular dementia are due to a stroke that causes the blood circulation to stop water a part of the brain, which causes the death of the affected neurons.

This is one of the few dementia that can be prevented, avoiding or controlling the risk factors such as high blood pressure, hypercholesterolemia, which can cause atherosclerosis or diabetes, to reduce the chances of suffering from it in the future.

Indeed, there are studies showing that proper treatment of hypertension reduces the presence of impairment congnitivo and the risk of dementia.

Multi-infarct dementia

As its name suggests, this dementia is multi-infarct or cerebral embolism, which can be asymptomatic, and that leave residual infartadas areas.

His home is usually abrupt, especially if it occurs after one of these strokes, and are usually neurological symptomatology companion as a sequela of ischemic accident.

Binswanger disease
Subtype of vascular dementia, which is due to high blood pressure and atherosclerosis, so it is also known as atherosclerosis subcortical encephalopathy.

This insanity is due to degeneration of the white matter of the brain cause of occlusion of cerebral blood vessels, which limits the amount of blood reaching the brain in general, and white matter in particular. Brain cells deprived of oxygen, they deteriorate and die, which causes dementia.

Risk factors that increase the chances of occurrence of this disorder are:

• High blood pressure.
• Atherosclerosis (hardening of the blood vessels).
• Cardiovascular diseases.
• Diabetes.
• The symptoms usually occur gradually, worsening progressively although, occasionally, they stabilize and even improve. The main manifestations of this disease are:

• Alteration of the March (more slow and unstable).
• Loss of memory.
• Progressive deterioration of cognitive, motor and intellectual faculties.
• Difficulties to express themselves.
• Depression.
• Incontinence.
• Loss of coordination, tremors...
• Apathy.
• Disorientation.
• Paralysis on one side of the body.
• The diagnosis is determined through tests such as magnetic resonance imaging and computed tomography of the brain. You can also be a photo simple emission computed tomography (SPECT according to its acronym in English), which aims to identify the function of the cerebral white matter degeneration.

No known cure for this disease, and drugs that are administered to the patient aim to control the pathologies associated with hypertension, hypercholesterolemia and depression, as well as decrease the risk of stroke.

Lewy body dementia

It is the third leading cause of dementia in the elderly, after ad and vascular dementia and, as its name suggests, the typical characteristic is the presence of so-called Lewy bodies, which are abnormal protein deposits scattered throughout the brain, affecting on the functions of certain neurotransmitters, altering perception, thinking and behavior of those affected.

Symptoms:

• Slowly progressive cognitive impairment. Cognitive fluctuations are typical data of this disease, and are mainly based on the State's attention and alert.
• Visual hallucinations are also features, as well as alterations of sleep (in the phase of muscle relaxation these patients tend to have lots of activity).
• The patient may also have auditory, olfactory, tactile and gustatory hallucinations.
• Changes in mood and behavior (sadness, depression, anger, lack of initiative...).
• Trembling, and other symptoms like weakness and muscle stiffness may be and unsteady gait, make difficult times the differential diagnosis of Parkinson's disease.
• The diagnosis includes physical and neurological examinations assessing capacity functional and expressive of the patient, his memory, and other skills, as well as perform tests such as CT or MRI. However, the only definitive diagnosis is obtained after the death of the patient, to perform an autopsy.

No known cure for this insanity and the treatment should be customized because the disease causes sensitivity to certain drugs.

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Difference Between Alzheimers And Dementia

Difference Between Alzheimers And Dementia - This is a frequent question. The terms dementia and Alzheimer's disease are exchanged many times, both in professional environments level slang, so it is understandable that most people may think that they are the same thing. But it is not the same. Learn about dementia can be a first step to knowing and understanding this difference.

Difference Between Alzheimers And Dementia

Dementia is not a specific disease.

Dementia is a general term that encompasses many different diagnoses. In fact, there are more than 95 types of dementia.

Dementia is an acquired syndrome (set of symptoms and signs), which occurs when the brain is affected by a disease.

It is not a normal part of aging.

Dementia affects differently and can cause a range of symptoms. These may include problems with memory, concentration, thinking, planning, and language, producing the global deterioration of cognitive functions.

Difference Between Alzheimers And Dementia

These changes in cognitive functions are usually changes accompanied in the conduct, character and personality. Its immediate consequence is the altering social, work and daily life of the patient and interfere in relations with its immediate surroundings.

Alzheimer's disease is the most common type of dementia, representing approximately between 60% and 70% of the cases. Other types of dementia are Lewy body dementia, frontotemporal dementia, dementia associated with Parkinson's disease, vascular dementia and mixed dementia.

There is no single test to determine whether a person has dementia.

The diagnosis of dementia is carried out on the basis of a detailed medical history, a physical assessment, laboratory tests and neuroimaging.

Doctors can determine if a person has dementia with a high level of precision. However, it is more difficult to determine the exact type of dementia given that symptoms and changes in the brain of different dementias can match.

A Neuropsychological examination serves to complement the diagnosis, determine which cognitive areas are affected, and which are still preserved, and help determine the type of dementia.

And although there are common symptoms that are seen through many types of dementia, the way in which each person is affected will be unique.

Know both the type of dementia, and the main symptoms, and its evolution, is necessary in order to prevent and plan different treatment strategies.

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Depression and Dementia - Cornell Scale For Depression In Dementia

Depression and Dementia -  A group of researchers from the Center-physician of the Rushmore University, in Chicago, Illinois, United States, has conducted a new study on the relationship between dementia and depression.

The report was published in the online edition of the journal Neurology and shows that the link between depression and dementia is independent of brain changes related to this. Robert S. Wilson, a neuropsychiatrist at the Rush Alzheimer's disease center and the lead author of the study, says that, "studies have shown that people with symptoms of depression are more likely to develop dementia, but not known how this relationship"

Depression and Dementia - Cornell Scale For Depression In Dementia

For the realization of this work were 1,764 people over 77 years, belonging to the Religious Orders Study and the Rush Memory and Aging Project. At the beginning of the tests, none of the volunteers had problems cognitive impairment or dementia.

Doctors accompanied and studied patients each year, to detect symptoms of depression, such as loneliness or lack of appetite, and did their thinking and memory skills tests over a period of eight years.

At the end of the investigation it was found that a total of 680 people died during the process and in 582 of them autopsies were performed to find plates of protein beta amyloid and tangles tangles in the brain, signs of dementia and other signs of brain damage.

Throughout the study, 922 persons, i.e. 52% of participants, developed mild cognitive impairment or mild memory problems and thinking skills, common symptoms of Alzheimer's disease. 18%, i.e. 315 people, developed dementia.

Thus, people who developed mild cognitive impairment were also more likely to present a high level of depressive symptoms until they were diagnosed, but after the diagnosis the number of depressive symptoms in those who had mild cognitive impairment and those who do not.

On the other hand, the participants in the study with dementia were more likely to have more symptoms of depression before the start of dementia. However, once appear dementia, symptoms of depression decreased more rapidly. This development associated with a decrease in quick thinking and memory skills as explains the researcher Robert Wilson "our results are interesting because they suggest that depression is a risk factor for dementia, and if we can attack and prevent or treat depression and the causes of stress, may have potential to help people keep their thinking and memory skills in old age".

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Dementia Test - Early Dementia Test

Dementia Test - In everyday clinical practice, health professionals have not always trained neuropsychologists, or fast and efficient diagnostic tools to detect patients with neurodegenerative diseases. On the other hand there is Neuropsychological studies that demand long time.

For this reason, Argentine researchers developed a tool that presents a high sensitivity and specificity to differentiate healthy patients of those who begin to show symptoms of dementia. The test, created by specialists of the Institute of cognitive neurology (INECO), recently being featured in the online version of the scientific journal, The Journal of the International Neuropsychological Society.

Dementia Test - Early Dementia Test

"The study we design is intended to achieve early diagnosis for a treatment in a timely manner," he said to the Agency CyTA Teresa Torralva, Chief of Neuropsychology INECO and the Institute of neuroscience of the Favaloro Foundation. And he added: "while many brief and sensitive tests are available to detect cognitive dysfunction, few have been developed to assess the executive functions in a quick way. These operations are a set of mental processes that allow planning actions, organizing and controlling behavior, inhibit responses or to be able to abstract concepts, among other functions."

A person with some form of dementia usually has difficulties in organizing and planning activities such as making a list of supermarket shopping, ingredients that are needed for the preparation of a meal plan or be able to abstract the meaning of a saying, said Torralva, Director of the research team that designed the test.

The designed tool called Screening front INECO (IFS), has a time of Administration for 5-7 minutes and offers simple instructions for health specialists to manage it to their patients.

"The test is divided into 8 subtests. In the first, for example, called motor series the patient must copy the sequence of movements that the doctor makes: "fist, singing, palma," requiring a motor sequencing highly dependent of the frontal lobes. Other subtest consists of verbal memory tasks which in this case is the months of the year in reverse order. "Also there are tests that evaluate the ability of abstraction through the interpretation of proverbs, and the inhibitory control motor and verbal (inhibiting a dominant response), among others", said Torralva, who also serves as Professor of neuroscience of the Favaloro University courses.

Study of validity

INECO researchers used the test to evaluate to 25 with Alzheimer's disease, 26 without any type of dementia, i.e. normal controls, and 22 patients with a diagnosis of behavioral variant Frontotemporal Dementia.

Frontotemporal dementia affects the prefrontal regions and the anterior region of the temporal lobes of the brain, but not all patients have affected the same structures in the same way within these brain regions, which is often observe a great diversity in cognitive difficulties. "However, beyond the differences, all patients with this picture have a specific disorder of executive functions, which has a severe impact on the functioning of the patient in their daily lives," said the specialist. And continued: "In the case of Alzheimer's disease, even though it exists in many cases Executive involvement during the early stages of the disease, patients have difficulties mainly in memory, and therefore are ideal to contrast with patients with frontotemporal dementia."

The results were that the test presented more than 96 per cent of sensitivity to differentiate healthy patients of those with dementia, "by which is useful for the differential diagnosis of dementia Frontotemporal and Alzheimer's disease", said Torralva.

Currently, the INECO research team works to demonstrate the usefulness of this tool in the detection of Executive difficulties in other illnesses, not only in the field of Neurology, but also in psychiatric and neuropsychiatric illnesses, such as bipolar disorder, attention deficit/hyperactivity disorder disorder, vascular dementia, among others.

"Definitely is vital to count with tools, sensitive and specific for the early detection of neurological diseases with the aim to design treatments early, that will help our patients and their families to improve their quality of life", said Torralva. And he added: "recommend the use of this tool to all that health professional (clinician, neurologist, psychiatrist, psychologist, occupational therapist) who wants to have data about the Executive operation of patients with diseases affecting the circuit frontoestriado, such as psychiatric disorders (schizophrenia, bipolar disorder and depression, among others) or neurological disease (Parkinson's disease, frontotemporal dementia and vascular dementia" (, entre otras). "


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Dementia Symptoms - Lewy Body Dementia Symptoms

Dementia Symptoms - The easiest way to understand it is dementia, is referring to the loss of the ability of intellectual tasks. Although dementia are associated as normal aging, this is not true.

Dementia gathers several symptoms that often accompany certain diseases and that Furthermore, interfere with the person's daily life.

Dementia Symptoms - Lewy Body Dementia Symptoms

Dementia Symptoms

The most common symptoms of dementia are the following:

• The person presents disorientation in time and place
• Disability of the elderly to learn
• Loss of language
• A memory, especially the recent memory loss occurs
• The older adult or the person loses control over his emotions and shows uninhibited with others
• Presents bizarre or paranoid ideas about people to her around
• It shows a lack of motivation towards the things that you like or usually enjoy

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Dementia Strategy

Dementia Strategy - From existing evidence and clinical experience, researchers at Johns Hopkins University have created 6 non-pharmacological strategies to identify and better manage behavioural problems of patients with dementia.

Behavioural problems, which may include psychiatric symptoms such as depression, psychosis, apathy, agitation, aggression, delusions and hallucinations, as well as a disturbing behavior, like repeating sentences and wandering, are often difficult to manage and can both increase the risk of dangerous activities (walking in traffic, for example) that be extremely stressful for caregivers.
Doctors sometimes prescribe atypical antipsychotics for managing behavioral symptoms.
In an article published in the November 21 issue of JAMA, Laura n. Gitlin, PhD, of the Department of community health of the School of Nursing at Johns Hopkins University in Baltimore, Maryland, and colleagues summarized six non-pharmacological approaches to identify and manage behavioral problems.

The 6 stages

The researchers searched PubMed published studies in peer-reviewed journals between January 1992 and 1 July 2012, and have tried the latest publications by systematic reviews, meta-analyses, Cochrane reviews, and randomized studies of non-pharmacological treatments both at home and in nursing homes.

Dementia Strategy

From this research and by the example of Mr. p., a 93enne with mild cognitive impairment resulting from vascular disease of the brain, who lives with his cousin primary caregivers, researchers have developed 6 key approaches to discover and manage disruptive behaviors:

1. identify the behaviors and implement preventive actions: experts recommend proactive verification of behaviors, using a reliable and validated (for example, the Neuropsychiatric Inventory). Preventive measures may include discussion with caregivers about the importance of self-care, appropriate stimulation, feeding, sleeping, and identification of first symptoms.

2. Describe the behaviors that occur when you develop destructive behaviors or troubling, doctors should make a formal evaluation, a process that involves the interview both the patient and the caregiver. Although physicians should consider behaviors from the perspective of the patient, the caregiver's involvement is essential, especially as the disease progresses. It is important to determine the burden of caregiver, as a depressed caregiver can have benefits via a psychiatrist or counselor.

3. Identify the underlying causes: physicians must try to find possible causes of behaviors, including the contribution of factors relating to the patient as other diseases, pain, or medication. They must observe the style of communication and coping with the situation of caregivers, proximity to the patient, and the level of access to support. You should also assess the home environment in terms of excessive or insufficient stimulation.

4. develop a treatment plan that should aim the behaviors and eliminate the factors scatentanti editable. Simple tasks such as daily walks together can increase feelings of well-being and improve sleep. Social activities and otherwise likes the patient can reduce the shaking. Depression can be reduced with a combination of exercise and caregiver training in behaviour management techniques. The authors cite a randomized clinical study with 272 patients living in the community, and their caregivers that have shown that focusing and changing behaviors, potential triggers, improve or eliminate symptoms and patient wellness and rise of caregiver skills. "The possible strategies, based on the identification of factors contributing to the behavior, could include eliminating caffeinated beverages, afternoon nap, and stimulation by environmental distractions (television at bedtime), and the implementation of a daily routine of exercise, significant activities of a structured routine night possible involvement of background music," the authors write.

5. Determine the effectiveness of non-pharmacological strategies: If there are behavioral improvements, it is important to determine if there have been changes in behavioral characteristics, in the environment of the patient, or the patient's State of health, the authors note. Might also be a good idea to analyze how the caregiver has implemented various strategies.

6. Determine if are emerging new behavioral symptoms: behavioural symptoms and stress of caregiving should be checked on a regular basis, and the control must be continuous, the authors write.

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Dementia Diagnosis - Diagnosis Of Dementia

Dementia Diagnosis - Only 25 percent of the 36 million people who have dementia worldwide have been diagnosed and treatment, according to the annual report on the 2011 Alzheimer's disease made by Alzheimer's Disease International (ADI).

"In countries with high income, just 20 per cent of cases of dementia are recognized and documented in primary care. In low-to middle-income countries, this percentage can be as low as 10 per cent", picks up the text.

Dementia Diagnosis - Diagnosis Of Dementia

In this regard, Sanitas Residencial has launched a unit of diagnosis and therapy for older people with dementia in Sanitas Residencial Ferraz (Madrid), which offers a quick and unified in a single center to find out if you are suffering from some form of dementia and to what degree, according to the company.

Make an early diagnosis of dementia is one of the main keys to get slow down the disease and start appropriate treatment. In this way, — start the treatments available both pharmacological and non-pharmacological at the beginning of the disease, offering better results and enhance the process.

With the launch of this diagnosis and therapy unit and the support of the center of Integral attention deterioration innovative diagnostic methods based on a multidimensional assessment that includes a comprehensive clinical assessment and neuropsychological as well as biochemical markers and neuroimaging techniques are covered.

In addition to the consultation with a physician geriatrician specializing, responsible for conducting a cognitive, affective, functional and clinical assessment as well as access to a first tier of specialized via Neuropsychology methods therapy treatments.

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Dementia Definition - Definition Of Dementia

Dementia Definition -  Dementia is a disease that affects the brain and progresses slowly, so variable from person to person by impairing cognitive functions: memory, language, reasoning, attention and planning.

The disorders of cognitive functions caused by senile dementia cause changes in behavior as wrong beliefs and disibinizione. These symptoms are also accompanied by a progressive cooinvolgimento functional State, i.e. those skills that allow you to perform everyday activities.

Dementia Definition - Definition Of Dementia

Senile dementia is a disease that occurs more frequently in the elderly but is not a condition typical of old age. Due to the progressive ageing of the population, the number of people suffering from senile dementia is increasing progressively with significant impact on the national health care system and overall health.

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