Today, there are various types of dementia and their symptoms are different from each other. Determining the type of treatment is important because there are reversible forms of dementia. Neurologist Andrey Shkarovsky from the Lahta Clinic told socialbites.ca that, for example, frontotemporal type dementia can start with children’s jokes.
“The frontotemporal type of dementia can be very different from the “classical” forms of neurocognitive diseases; it begins with severe behavioral and speech disorders and has a relatively intact memory. A patient with such a disease will be sloppy, has a poor vocabulary, “childish” jokes and swear words may be used in his speech. “Such a person’s criticism of his situation will decrease,” the doctor said.
Dementia with Lewy bodies will be characterized by changes in the severity of symptoms throughout the day.
“Traditionally, it may look like this: In the morning, subjectively and according to the evaluation of relatives, the patient feels well, and in the evening, symptoms of cognitive impairment will increase. “One of the classic symptoms of the disease is vivid, real hallucinations that can also occur in the evening or at night,” the doctor said.
Vascular cognitive disorders develop in most cases within a relatively short period of time after a cerebrovascular accident, and the symptoms clearly correspond to the affected part of the brain. Therefore, according to the doctor, vascular dementia can “mask” almost any known form of neurocognitive disorder.
“For example, the cognitive impairment in normal pressure hydrocephalus (a pathological condition characterized by impaired outflow of cerebrospinal fluid in the central nervous system and subsequent clinically significant enlargement of the ventricles of the brain) will resemble those in Alzheimer’s disease, but there are always some accompanying conditions. “Deterioration of the pelvic organs and pathological changes in gait,” the doctor concluded.
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Source: Gazeta
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