With age, most body organs begin to deteriorate in their function. This happens to the brain also, thereby reducing the overall speed of functioning of most organs. While slowing of bodily movement is visible, the internal organs functioning also slows down, which is not that obvious. Memory loss or dementia is one of the main manifestations of this degeneration of the brain.

Alzheimer s is the most common form of dementia, and the associated symptoms includes reduced reasoning abilities and cognitive defects. Though it is seen only in the elderly, not all elderly people will have Alzheimer s. The overall quality of life of the affected person is reduced with difficulty remembering things that were recently learned. It is a progressive disease and as it gets more severe, a full-time caretaker may be required.

Causes: The brain cells are affected by protein masses known as plaques and tangles. These hamper the way communication between the brain cells happens as well as affect nutrition from reaching all parts of the brain. This leads to shrinking of the brain, eventually leading to memory loss and other problems. There is also a strong genetic linkage, as most people with Alzheimer s have the lipoprotein A gene.

Symptoms: Though memory loss is the most common symptom, there are other symptoms:

Being confused about places, people, and times
Inability to find the right words during conversations
Regular objects are misplaced
Becoming irritable, (in someone who was not so previously)
Mood swings
Personality changes
Inability to organise thoughts
Not able to make the right decisions
Repetitive talks and actions
Forgetfulness (not something the person always does)
Difficulty with numbers (again, not something calculations
Difficulty managing everyday tasks and minor problems
Suspicion of others (like immediate family members and friends)
Risk factors: While age is definitely a risk factor, the fact that not all aged people develop Alzheimer s is to be borne in mind. Other risk factors include the history of stroke, high cholesterol, high blood pressure, diabetes, smoking, obesity, and poor lifestyle choices.

Diagnosis: While there is no definitive way to diagnose Alzheimer s, symptoms along with brain scans and neuropsychological function testing are useful ways to confirm the diagnosis.

Treatment: This is aimed at two things reducing the rate of disease progression and treat (or reverse) symptoms if possible.

Cholinesterase inhibitors improve cellular communication in the brain and also manage depression and agitation. Memantine is used to slow the pace of disease progression.
In people with the disease, small changes are useful to help them with the symptoms. These include keeping essential things like keys and wallet in the same place, keep a daily diary to help them remember things, keep pictures of friends and family within visible distance.

Alzheimer's - An Overview!

Diagnosing dementia can be more difficult than you can imagine. Medically, the patient needs to have at least two areas of mental functionality impaired to an extent where it interferes with their everyday life. However, diagnosis is just the beginning as treating dementia can be even more challenging. Here is a look at some of the treatment options available for dementia patients.

 Treatment for Dementia
There is often no cure for most forms of dementia. Treatment relies on the management of the condition, to ensure that the progression can be impeded. With proper treatment, patients can live a relatively normal life for a number of years.

Cholinesterase inhibitors- These medications are used for the treatment of Alzheimer s disease. They are chemical agents that boost the memory and judgment of the patient. The same is also an effective medication for those suffering from Parkinson s disease and Lewy body dementia.
Therapy- Making small changes to some aspects of life of the patient can often yield good results. For instance, clearing the clutter and noise in the house can be an effective way of helping dementia patients deal with their condition. Similarly, creating a safe environment at home with little chance of severe accidents, will ensure the safety of the patient.
Stress in caregivers of dementia patients
Dementia patients need to be cared for, ideally by a close family member such as a spouse. However, these caregivers undergo a lot of stress while providing support to the patient. For instance, Alzheimer s patients often do not recognize their caregiver who may also be their spouse. Here are some burdens that caregivers have to deal with.

Anger- The sense of fury towards the patient can be strong after years of providing care. They may also be frustrated with the fact that the affected person is unable to perform simple everyday jobs, such as brushing their teeth or tying their shoelaces.
Anxiety- A sense of hopelessness regarding the future is common. It is also the fear of what new challenges the next day might bring.
Depression- Seeing their loved one s mental state deteriorating with each passing day can be difficult to handle and pushes some caregivers into depression.
With such continuous emotional and physical stress, caregivers often fall sick themselves. This is why it is necessary to maintain a bright outlook and remember that a dementia patient can only get well if they have the full support of the caregiver. In case you have a concern or query you can always consult an expert & get answers to your questions!

Treating Dementia - Things You Should Know!

Dyslexia is a neurological condition which makes learning a difficult process in children. Children suffering from dyslexia find themselves incapable of reading and learning as compared to their peers. Dyslexia occurs when the brain cannot process graphic symbols. This causes difficulty in recognizing, spelling and also decoding words. The effect of this condition varies from one person to another and is most often a lifelong condition. It can also vary as a result of different ages in people. However, a slower reading level is one common characteristic that is present in all dyslexic children.

Dyslexia is a strictly neurological condition that has little to do with a person s intelligence. It can also occur as a result of genetic conditions. Early detection of the condition can help in improvement before he or she reaches adolescence. A thorough evaluation process of the child will include the following aspects IQ level, language skills, ability of word recognition, phonological processing, automaticity skills, fluency skills, family history and also knowledge of vocabulary.

The most common symptoms of dyslexia include:

Trouble reading
Very slow progression to milestones such as walking, talking, crawling and learning to ride a bicycle.
Slow development of speech
Trouble with hand-eye coordination
A slow rate of learning when it comes to data
Problem with speech
Very poor concentration span
Children suffering from dyslexia are more prone to developing certain autoimmune diseases such as eczema and asthma.
Dyslexia is sometimes subdivided into a number of categories such as Surface Dyslexia, Rapid Deficit Dyslexia, Visual Dyslexia and Phonological Dyslexia.

There is no medical treatment for dyslexia and help generally includes assigning reading specialists, child psychologist, speech-language pathologists and child neuropsychologists.

Certain practices that you yourself follow when dealing with your dyslexic child are:

Praise your child from time to time
Remind your child that being dyslexic has nothing to do with intelligence levels
Mix with other parents who have dyslexic children and interact with them about ways and strategies to heighten the child s confidence level.
Deal with your child patiently.

Understanding Dyslexia - What All Should You Know

Over 60 million people around the world suffer from epilepsy. This can be described as a brain disorder that causes seizures. However, it is important to note that seizures are not synonymous with epilepsy. A patient may be diagnosed with epilepsy only if there have two or more seizures that are unrelated to other medical conditions. Here are five facts you should know about epilepsy.

An epileptic person can have many different types of seizures.
Seizures are caused by abnormal electrical activity in the brain cells. There are many different types of seizures. Seizures can make a person make abnormal movements, make him or her stare into space, make him or her unable to speak or make them shake vigorously and fall to the ground. Some seizures are easy to identify while others may go unnoticed.

Epilepsy can be caused by many factors
There are a number of factors that can cause epilepsy. The most common amongst them are - deprivation of oxygen at the time of birth, brain infections, head injuries, stroke, neurological diseases, tumors and genetic disorders. Infections can also cause epilepsy. In some cases, the actual cause may be difficult to identify.

A healthy diet, protecting the head from trauma (by wearing a helmet) and exercising can help prevent epilepsy. Expectant mothers should also follow a healthy prenatal plan.

The effect of epilepsy is much more in women as compared to men
Both men and women are susceptible to epilepsy. However, epilepsy can be harder to manage in women. This is because of their hormone structure. Pregnancy can also make epilepsy hard to manage and the seizures could also affect the baby. Thus, it is essential for pregnant mothers with epilepsy to take extra precautions and follow their doctor s advice strictly.

Epilepsy can be treated
Though epilepsy cannot be cured, there are many ways of treating epilepsy. The best form of treatment depends on the patient s medical history and neurological exams. Medication to stop seizures is the most common form of treatment. A special diet may also be prescribed along with this. In some cases, surgery may also be advised. Nerve stimulation may also be used to treat this condition.

Epilepsy is not contagious
Anyone can suffer from epilepsy but it cannot be transferred from one person to another. Thus, if you see someone having a stroke, you must immediately try to help them without worrying about your own health.

Epilepsy - 5 Common Facts About It!

Nobody knows the exact cause of autism. All medical science knows is that it s a complex neurological disorder which is detected within the first three years of life and is caused due to structural changes in the brain. Autism causes a number of symptoms which grade from mild to moderate to severe, like-

Difficulty in communication and social interaction
Language impairment
Preoccupation with fantasies
Repetitive acts (echolalia)
Excessive possessiveness to certain objects
Intellectual impairment
Over-sensitivity or under-sensitivity to pain
Developmental problems
Causes
Genetic predisposition is the most common cause of autism. Exposure to environmental toxins is the other. Other causes are use of certain drugs during pregnancy, vaccinations etc.

Diagnosis
Diagnosis of autism can only be done by clinical evaluation as there are no laboratory tests for it. The psychiatrist prepares a detailed developmental case history of the child before arriving at a diagnosis.
There are a number of Autism screening tests to diagnose autism as well. One thing to always follow is to go to a psychologist who has a history of treatment of autistic disorders.

Diet
Theories are emerging that autism may be caused by a super sensitive child s response to foods like gluten found in grains and casein, a protein found in milk. These transform into substances that act like opiates in the child s body.

These drug-like substances alter the child s behaviour, his perceptions, and his responses to his environment. Recent research has found chemicals with opiate activity in the urine of a significant number of children with autism.

Autistic children have shown mild to dramatic improvements in speech, behaviour after going on a gluten-free, casein-free (GFCF) diet.

Some of the foods that can be eaten on GFCF diet include rice, quinoa, potato, buckwheat flour, soy, amaranth, corn, fruits, vegetables, beans, tapioca, meat, poultry, fish, shellfish, nuts, eggs, and sorghum, among others.

Homoeopathic treatment of Autism:

The homoeopath carries out a detailed study of the family history of serious diseases which are linked to the development of autism in his patient.
The genetic evaluation of the patient is followed by case analysis which takes into account impaired functions in the patient like repetitive behaviour, lack of social skills, speech issues etc.
The homoeopathic medicines indicated for autism are twenty and are usually given in combinations. A homoeopath takes the decision about the exact medicine to be given, its combination with other support medicines, the dose and its repetition based on the case history of the child.
By no means should one try to cure autism by self-medicating on homoeopathic medicines as this can cause deleterious effects.
It usually takes a minimum of six months for some perceptible changes in autistic children. Homoeopathic treatment may have to be continued for over a year if the symptoms of autism are very severe.

Autism- Diagnosis, Diet And Homeopathic Treatment!

Epilepsy is a neurological condition that leads to recurrent seizures. Seizures arise when electrical activity in the brain suddenly surges causing a temporary disturbance within the messaging systems located between the brain cells.

Epilepsy is more common in children below the age of two years and adults above the age of 65 years.

Seizure Types

Seizures are classified into two main categories depending on their area of impact. 

A focal seizure is one that affects only one part or area of the brain whereas a generalised seizure affects the whole brain. Further, both focal and generalised seizures have various sub-categories which are as follows-

Previous nomenclature- 

Partial Seizure

  Simple Partial Seizure
  Complex Partial Seizure
  Partial Seizure with Secondary Generalization

Generalized Seizure

  Absence Seizures
  Myoclonic Seizure
  Atonic Seizure
  Tonic Seizure
  Tonic-clonic Seizure
  Mixed Seizure
  Status Epilepticus

Latest nomenclature of seizure types:

Focal seizures-

  Focal aware seizures
  Focal impaired awareness seizures (previously called complex partial seizures)
. Bilateral tonic clonic seizures

Generalised onset seizures-

  Tonic clonic seizures.
  Atonic seizures (sometimes called drop attacks) and tonic seizure.
  Myoclonic seizures.
  Absence seizures.

Symptoms

The well know symptom of epilepsy is a convulsion/ fit, a few other symptoms include-

  Intermittent spells of fainting. When this happens the patient is likely to lose control of his/her bladder or bowel movements. Following this, the person is likely to suffer from extreme tiredness.
  Spells of a blackout with difficulty in remembering
  Becoming unresponsive to any instructions or questions asked during brief periods of time
  Bouts of continuous blinking without any known reason
  Inappropriate movements that keep on occurring
  Changes in sensory perceptions
  Sudden stiffness in the body

Reasons for Epilepsy

Messaging systems within the brain are responsible for every function that goes about in your body. A disruption to this system caused by defective electrical activity leads to epilepsy in a person. Many people inherit epilepsy while others may develop this condition as a result of-

  Head trauma sustained during an accident
  A stroke or a tumour that has affected the brain impairing its normal capabilities
  An injury to the brain before or during birth
  Associated with developmental issues
  Infections of the brain

Treatment for Epilepsy

Epilepsy in childhood can be treated by using medications and by adopting dietary changes in some cases. Medications for epilepsy mainly include-

  Anticonvulsants - Helps control seizures and manages the symptoms of epilepsy
  Medications for nerve pain - Reduce pain that is caused by the damaged nerves

These medications should be consumed as and when prescribed by the doctor. You must consult a paediatrician for this, as he/she will take your child s physical and mental in consideration before starting the treatment.

Seizures that occur in childhood may be benign. This means that it will not continue into one s adult life. Further, those children who have suffered from epilepsy in their childhood have been seen to have normal mental and intellectual development in their adulthood. However, some epilepsy syndromes in children can have a devastating effect on the child.

Seizure threshold is a term that is used to refer to the conditions that are important for the production of seizures. The threshold is lower for people who are more prone to having seizures whereas the threshold is higher for those who do not have a tendency to suffer from seizures.

A Complete Guide To Childhood Epilepsy!

Don't wait any longer, manage your Geriatric Neurologist online with a Lybrate doctor today

Consult for Geriatric Neurologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES