Dementia USA
"Support For People With Early Dementia"
 

INSIDERS' TIPS ABOUT DIAGNOSIS
The following is general information about diagnosis. Go to the bottom of the page to read what going through the process of diagnosis is really like.



"Memory Loss" is but one symptom of Alzheimer's and other dementias. For many, even one experience with memory loss can make a person fearful of having Alzheimer's. However, many things can cause memory loss. Some, like Alzheimer's disease, are true dementias because they are progressive and -- at least so far --  cannot be cured.

However, many conditions (called pseudo-dementias) can be easily treated and the memory loss reversed. It is particularly important to get an accurate diagnosis because much memory loss can be repaired. Even more important, early treatment of true dementias is key to recovering some losses and delaying the worsening of symptoms. Some causes of pseudo-dementia include:

Bad reaction to certain medicines
Depression
Not having enough fluids in your body, also called dehydration
Not eating enough healthy foods, or too few vitamins and minerals in your body
Minor head injuries
Thyroid problems

If the above conditions are ruled out, a specialist in dementia can pursue a "differential diagnosis" for the underlying disease process causing memory loss and other symptoms of dementia. Neurologists specializing in dementia diagnosis and treatment can be found by calling the Alzheimer's Association chapter listed in your phone book. You may ask them for a list of specialists. If none are nearby, contact an Alzheimer's Disease Research Center (ADEAR).  

Below is the OLD story about diagnosis. Techniques are changing fast right now. Check back here soon for more accurate information about getting a diagnosis.


Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose dementia early.

Dementia may be suspected if memory deficits are exhibited during the medical history and physical examination. Information from the patient's family members, friends and caregivers may also point to signs of dementia.


Distinguishing among age-related cognitive decline, mild cognitive impairment and Alzheimer's disease may be difficult and requires evaluation of cognitive and functional status. Careful medical evaluation to exclude treatable causes of cognitive impairment is important. Patients with early dementia may benefit from formal neuropsychologic testing to aid in medical and social decision-making.

Follow-up by the patient's family physician is appropriate in most patients. However, a subspecialist may be helpful in the diagnosis and management of patients with dementia with an unusual presentation or following an atypical course.


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