Thursday, August 15, 2013

Common Conditions that Mimic Dementia [Memory Loss]

Hi Readers,

Below is a list of common conditions and situations that mimic dementia and are sometimes misdiagnosed as dementia or Alzheimer's Disease.  The majority of people diagnosing have no medical background.

Please do not lay diagnose yourself or others.  I have found far too many people diagnosing themselves, their spouse, or parents with "memory loss."  Only 24% of older adults have dementia.  The majority, or 76%, do not have dementia.

Remember, cognitive slowing is normal after age 35 and is not memory loss [see below].  Memory recall, processing speed, and retrieval is slower among older adults.  Normal!  

•Depression [dark cloud]

•Anxiety [impending doom]

•Sleep Disorders

•Sleep Deprivation

•Jet Lag

•Anemia

•Hypothyroidism [under-active]

•Substance Abuse

•Side Effects of Prescription or OTC Drugs

•After Effects of General Anesthesia [up to one year]

•Hypothermia [cold] and Hyperthermia [hot]

•Poor Nutrition

•Vitamin D, B12, and/or Potassium deficiency

•Dehydration [older adults must drink 64 oz. daily]

•Bipolar and other Axis I disorders

•Hearing Impairment

•Multitasking

•Worry and Stress

•Caregiving [Burn-out]

•Family Strife and Discord

•Weather-related Disaster

•Displacement [hotel, temporary housing] and Relocation

•Normal pressure hydrocephalus, or NPH.  Flow of spinal fluid is blocked, causing fluid to accumulate within ventricles in the brain, compressing brain tissue. NPH can be confirmed or excluded through a CT or MRI scan, and it may be corrected through surgery in most patients.  See my blog posting on NPH. 

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AgeDoc 's Pearls of Wisdom

The brain is like a computer.  Cognitive SLOWING is normal aging.  The older brain is like an older computer.  It works fine but it has slower retrieval than a new computer.  The “memory” is there in the hard drive… and so the memory is not “lost.”  Besides, an older person has more “files” up there, right?

Asking “what is this?” for a common everyday object is a RED FLAG!  Picking up the remote and asking, "What is this?" is NOT normal and requires follow-up with a geriatric physician.  However, losing keys and losing the remote is NORMAL... at any age. 






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