Neuro-dementia

Question 1

reversible causes of dementia

Answer 1

depression
-alcohol

Question 2

why is it hard to accurately diagnose dementia in clinic

Answer 2

-old age= multiple co-morbidities
-disease follow a heterogenous course- meaning there is high variabilities in symptoms

Question 3

what examinations could be done for dementia

Answer 3

MMSE= mini mental state examination

+/- ACE III = Addenbrooke’s cognitive examination III

Question 4

investigation for dementia

Answer 4

Bloods
MRI
PET- amyloid

Question 5

dementia management

Answer 5

Acetylcholinesterase inhibitors

Watch and wait

Treating symptoms

Social services

Question 6

what is dementia with Lewy bodies

Answer 6

cognitive impairment within 1 year of Parkinsonian symptoms, visual hallucinations and fluctuating cognition

Question 7

what is frontotemporal dementia

Answer 7

behavioural change. progressives non-fluent aphasia

Question 8

dementia diagnosis on CSF- what is seen

Answer 8

low b-amyloid
high tau protein

although both are technically high in brain