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Ashok Bharucha

A neurological disorder called dementia affects memory, thinking, and social abilities. When brain neurons stop functioning or die, it happens.

Alzheimer's disease, vascular dementia, Lewy body dementia, and frontotemporal dementia are the four main kinds of dementia. Each variety has distinct signs, brain regions affected, and potential reasons.

The most prevalent type of dementia is Alzheimer's disease. Memory loss and other issues with thinking, learning, judgment, and communication are all symptoms of this severe brain condition.

The disorder is brought on by aberrant proteins that accumulate in the brain, producing plaques and tau tangles, obstructing everyday communication between nerve cells. This injury causes dementia symptoms and nerve cell loss.

Memory issues, such as trouble recalling recent events or forgetting specifics, are typically present in the early stages of Alzheimer's disease. This is because the memory-controlling hippocampus experiences early-stage injury before eventually spreading to other brain parts.

Before severe memory loss, some Alzheimer's patients experience physical issues, like a propensity to wander off from home. Ten years before significant memory loss manifests, these issues may arise.

A progressive brain disease called Lewy body dementia (LBD) affects memory, thinking, mobility, and behavior. Planning, decision-making, and visual processing information are among the symptoms of LBD (seeing and interpreting where objects are in space).

Lewy bodies, an aberrant protein, are thought to accumulate in the brain regions in charge of memory and muscle action. The deposits prevent the cells in specific locations from functioning normally.

Hallucinations and modifications in behavior, attitude, and mood are additional signs of LBD in some sufferers. These shifts, which can occur at random periods during the day or night, are characterized by a swing from a state of alertness to drowsiness or staring into space.

Consult your doctor for assistance if you or someone you know is exhibiting early signs of dementia. If necessary, they can send you to a memory clinic or another specialist after doing a few quick tests to determine the source of your problems.

Reduced blood supply to the brain is the cause of vascular dementia. This can occur due to a blockage in one or more small blood arteries or a significant stroke that harms the brain.

Vascular dementia symptoms can appear gradually or quickly, although often worsen over time. If you think your loved one may develop vascular dementia, getting care as soon as possible is crucial.

Because symptoms might be minor and mimic natural aging in the early stages, diagnosis can be challenging. The initial symptoms of vascular dementia are frequent forgetfulness and difficulties with thinking or problem-solving skills. However, they might differ from person to person.

Personality or mood changes might also occur along with movement or balance adjustments. People with vascular dementia may find it challenging to live freely or safely at home due to these factors.

When the frontal and temporal lobes of the brain are harmed, frontotemporal dementia (FTD) develops. Memory, cognitive, speech, and behavior issues may result.

Usually, it begins before the age of 65. Although there are some differences, the symptoms are similar to those of Alzheimer's.

Frontotemporal dementia has no known cure, but medication can help control and lessen some symptoms. Antipsychotics and antidepressants are two common medications.

Doctors might perform imaging and tests to determine what is causing the brain injury. Frontotemporal dementia can be identified through genetic testing in cases where it runs in families or through a post-mortem brain dissection.

Taking care of a loved one who has FTD can be difficult. It's crucial to prepare in advance and find respite carers when needed. Most FTD sufferers eventually require round-the-clock care in a nursing home or assisted living facility.

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