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Neurology

Alzheimer's and dementia

Alzheimer’s disease and dementia

Alzheimer's is a disease that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and grow over time, becoming severe enough to disrupt daily life.

Alzheimer's is the most common form of dementia. Alzheimer's treatments cannot stop the disease from growing, they can slow the worsening of dementia symptoms and improve quality of life for those with Alzheimer's and their caregivers.

For more detailed information, go to our health library.

Alzheimer Disease

What is Alzheimer disease?

Alzheimer disease is a disease that affects the brain and nervous system. It happens when nerve cells in the brain die. The disease gets worse over time. It is a type of dementia.

Alzheimer disease often causes:

  • Problems with memory, thinking, and behavior
  • Confusion
  • Restlessness
  • Personality changes
  • Problems with judgment
  • Problems with making sense when talking
  • Problems with following directions
  • Problems with eyesight
  • Problems with knowing how objects around you relate to you (spatial awareness)
  • Lack of interest or concern about other people

The disease does not affect a person’s movement. He or she can still get around normally.

Alzheimer anatomy

What are the symptoms of Alzheimer disease?

The following are the most common symptoms of Alzheimer disease. But not everyone has all of these symptoms. Symptoms may include:

  • Memory loss that affects job skills, especially short-term memory loss
  • Difficulty doing familiar tasks
  • Problems with language
  • Confusion about time and place
  • Poor judgment
  • Problems with abstract thinking
  • Misplacing things
  • Changes in mood or behavior
  • Changes in personality
  • Loss of desire to do things
  • Loss of the ability to know who people are. This even includes people whom the person knows well such as a child or spouse.

The symptoms of Alzheimer disease may look like other health conditions or problems. Always see your healthcare provider for a diagnosis.

How is Alzheimer disease diagnosed?

No single test can diagnose Alzheimer disease. A healthcare provider will first rule out other conditions. But the only way to confirm a diagnosis of Alzheimer disease is to examine the brain after death. An autopsy can show changes in the brain that mark the disease.

It’s important to find out if the dementia is caused by an illness that can be treated. A healthcare provider will do thorough exams of the person’s nervous system. The provider may also do:

  • Complete health history. This may include questions about overall health and past health problems. The provider will see how well the person can do daily tasks. The provider may ask family members about any changes in behavior or personality.
  • Mental status test. This may include tests of memory, problem solving, attention, counting, and language. Neuropsychological testing may also be done. This will likely be a series of tests that assess your brain function. It usually involves answering questions and doing certain tasks.
  • Standard medical tests. These may include blood and urine tests to find possible causes of the problem.
  • Brain imaging tests. CT, MRI, or position emission tomography (PET) may be used to rule out other causes of the problem.

How is Alzheimer disease treated?

Your healthcare provider will figure out the best treatment for you based on:

  • How old you are
  • Your overall health and past health
  • How sick you are
  • How well you can handle specific medicines, procedures, or therapies
  • How long the condition is expected to last
  • Your opinion or preference
Medicines are often used to help people maintain mental function and carry out daily activities. They include:
  • Donepezil
  • Rivastigmine
  • Galantamine
  • Memantine
At this time, Alzheimer disease has no cure. There is no way of slowing down the progression of this disease, and no treatment is available to reverse the changes that the disease brings on. But new research findings give reason for hope. Several medicines are being studied in clinical trials to see if they can slow the progress of the disease or improve memory for a period of time.

Some medicines are available to help manage some of the most troubling symptoms of Alzheimer disease. These symptoms include:

  • Depression
  • Behavior problems
  • Sleep problems

Exercise and social activities are important to help manage the disease. So are good nutrition, a healthy lifestyle, and a calm and well-structured environment.

What are the complications of Alzheimer disease?

Alzheimer disease is a progressive disease. This means that memory problems and problems with doing daily tasks gradually get worse. Each person is affected differently, but people with Alzheimer disease have mood and behavior problems that make it difficult for family members to care for them. As a person is less able to care for himself or herself, families or others must help with personal care, meals, and daily activities. People with advanced Alzheimer disease will most likely need to stay in a place that specializes in care of people with memory disorders.

Key points about Alzheimer disease

  • Alzheimer disease is a disease that affects the brain and nervous system. It gets worse over time.
  • Alzheimer disease affects a person’s memory, thinking, personality, emotions, and ability to care for himself or herself.
  • Alzheimer disease has no cure.
  • Medicines may help with some of the symptoms.
  • Caregivers need to be aware of their own needs and ask for help as needed.
  • Over time a person with Alzheimer disease will most likely need to stay in a place that specializes in care for people with this disease.

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