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“The Least You Need to Know" about Dementia

“The Least You Need to Know" about Dementia. Jack Twersky, MD Medical Director CLC Durham. Dementia: DSM IV Criteria. Memory impairment and at least one of the following Aphasia Apraxia Agnosia Executive function Impairment Decline Delirium. The Dementias. Common Dementias

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“The Least You Need to Know" about Dementia

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  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

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