SUBCORTICAL DEMENTIA

Subcortical dementia is a kind of dementia that leads to slowed thinking, absent mindedness, cognition impairment, detachment, depression, loss of confidence, loss of social aptitudes and extrapyramidal disorders.

Subcortical dementia have changes that affect the thalamus, basal ganglia, and brainstem yet don’t affect the cerebral cortex. It affects mood, state of mind, motivation, language, memory, social aptitudes, extrapyramidal capacities, and visuospatial abilities. Moreover, damage to the basal forebrain can cause amnesia and psychosis. Subcortical dementia contrasts from other dementia such as frontotemporal dementia and Alzheimer’s marked by aphasia, amnesia, agnosia, and apraxia.

SYMPTOMS

Manifestations may overlap with those of other dementias, particularly Alzheimer’s dementia. Its signs and symptoms may include:

  • Confusion
  • Problems in focusing and thinking
  • Diminished capacity to compose thoughts or actions
  • Decrease in capacity to analyze a circumstance, build up plan and convey that plan to other people
  • Trouble in choosing what to do next
  • Issues with memory
  • Restlessness and agitation
  • Unsteady gait
  • Abrupt or frequent urge to urinate or incontinence
  • Depression or apathy

DIAGNOSIS

Physicians can almost consistently know that you have dementia, however there’s no particular test that confirm if you have subcortical dementia. Your physician will know about whether subcortical dementia is the most probable reason for your symptoms based on your medical history and your test results.

Tests may include the following:

  • Blood pressure
  • Cholesterol
  • Blood sugar

The physician may likewise suggest tests to preclude other potential reasons for memory loss, such as:

  • Thyroid disorders
  • Vitamin deficiencies
  • Neurological exam

Your physician may also check your general neurological status by testing your:

  • Reflexes
  • Muscle tone and strength, and how strength on one side of your body compares with the other side
  • Ability to get up from a chair and walk across the room
  • Sense of touch and sight
  • Coordination
  • Balance
  • Brain imaging

Brain imaging can pinpoint problems brought about by strokes, blood vessel problems, tumors or injury that may cause changes in cognition. These imaging tests may include the following:

  • Computerized tomography (CT) scan
  • Magnetic resonance imaging (MRI)
  • Carotid ultrasound

 

Neuropsychological tests may also be done.

TREATMENT

Treatment usually centers around dealing with the health problems and risk factors that add to subcortical dementia.

Controlling conditions that affect the heart and blood vessels can moderate the rate at which subcortical dementia deteriorates, and may likewise prevent further damage. Your doctor may give you medicines to:

  • Lower blood pressure
  • Reducecholesterol level
  • Prevent your blood from clotting
  • Control blood sugar if you have diabetes

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