痴呆症的类型：并非总是阿尔茨海默病.pdf

1、TYPES OF DEMENTIA:Its not always Alzheimers diseaseJennifer Arnold,MD,PhDAssistant Professor of NeurologyBrain and Aging Conference 2025Goal and Talk OutlineIdentify various types of dementia and the differences between themOutline Initial diagnosis of cognitive impairment and dementia Reminder of A

2、lzheimers disease,vascular dementia,Lewy body dementia Discuss atypical dementias:Frontotemporal dementia Atypical forms of AD Progressive supranuclear palsy and corticobasal syndrome CTE LATEDisclosures Nothing relevant to discloseCognitive function Memory Working/immediate Short-term Long-term Exe

3、cutive function Planning Multitasking,multistep tasking Judgement,logic,making decisions Calculations,money management Abstraction Praxis Psychological Mood Anxiety Hallucinations,delusions Visuospatial Finding objects Depth perception Getting dressed appropriately Writing,reading Navigation Recogni

4、zing faces,objects Behavior Personality Social inhibition Empathy,sympathy Judgement Language Appropriate word usage Fluency Grammar Comprehension Reading,writingWhat is dementia?Process causing(usually)progressive cognitive dysfunction Greater than normal aging Interferes with daily social or occup

5、ational function Non-reversible process Mild Cognitive Impairment Subjective complaints of cognitive difficulty Abnormal cognitive function on testing(objective findings)Daily function essentially preserved Possible reversibleIs it dementia?Medications Benzos Opioids Hypnotics Anticholinergics Barbi

6、turates AEDs,muscle relaxers Neuroleptics Other medical issues,deficiencies,toxicities Vitamin deficiencies B12,B1,folate Endocrine dysfunction thyroid Chronic liver or kidney disease Severe lung disease,CHF Inflammatory/autoimmune disease Infections Sleep disruption OSA Insomnia Depression,anxiety