Alzheimer's Disease
Alzheimer's disease is a progressive brain disorder that affects memory, thinking, and behaviour. It is the most common cause of dementia in older adults and is estimated to affect 5.7 million Americans.
Symptoms of Alzheimer's Disease:
The symptoms of Alzheimer's disease develop slowly
over time and can include:
- Memory loss, especially of
recent events
- Difficulty with
problem-solving and decision-making
- Confusion about time and
place
- Difficulty with familiar
tasks
- Problems with language and
communication
- Disorientation, even in
familiar surroundings
- Changes in mood and behaviour,
such as depression and anxiety
- Poor judgment and motor
coordination
- Decreased ability to
perform self-care activities, such as dressing and bathing
Disease course of Alzheimer's Disease:
The course of Alzheimer's disease varies from
person to person, but the disease typically progresses through three stages:
early, middle, and late. In the early stage, mild memory loss is the most
noticeable symptom. As the disease progresses to the middle stage, memory loss
becomes more pronounced, and individuals may have difficulty with daily tasks
and communication. In the late stage, individuals may become bedridden, unable
to communicate and require around-the-clock care.
Causes of Alzheimer's Disease:
The exact cause of Alzheimer's disease is not
known, but it is believed to be a combination of genetic, environmental, and
lifestyle factors. Abnormal deposits of proteins in the brain called amyloid
plaques and tau tangles, are thought to play a role in the development and
progression of Alzheimer's disease.
Complications of Alzheimer's Disease:
The complications of Alzheimer's disease can
include:
- Increased risk of falls and
injury
- Difficulty with self-care
activities, such as dressing and bathing
- Increased risk of
infections, such as pneumonia
- Increased caregiver stress
and burnout
- Financial strain due to the
cost of care
- Increased risk of
depression and other mental health problems
Role of Imaging in the Diagnosis of Alzheimer's Disease:
Imaging plays a limited role in the diagnosis of
Alzheimer's disease, as there is no single test that can definitively diagnose
the condition. However, imaging can help rule out other causes of dementia and
provide additional information about the structure and function of the brain.
Magnetic Resonance Imaging (MRI) and Computed
Tomography (CT) scans can be used to rule out other causes of dementia, such as
a brain tumour, stroke, or hydrocephalus. Additionally, Positron Emission
Tomography (PET) scans and Single-Photon Emission Computed Tomography (SPECT)
scans can be used to assess the levels of certain chemicals in the brain, such
as glucose, which can provide information about the activity and function of
brain cells.
It's important to note that imaging alone is not
enough to diagnose Alzheimer's disease, and a definitive diagnosis requires a
comprehensive evaluation that includes a thorough medical history, physical
examination, cognitive testing, and laboratory studies.