Dementia is caused by different diseases, like Alzheimer's disease and vascular dementia. These diseases damage different areas of the brain and cause different symptoms. Brain imaging allows doctors to see where damage has occurred. Brain scanning and imaging has led to more accurate ways to diagnose dementia.
Doctors also use brain scans to find evidence of other sources of damage, such as tumors or stroke, that may aid in diagnosis. Brain scans used to help diagnose dementia include CT, MRI, and PET scans.
Currently MRI is the radiological test of choice. As well as ruling out treatable causes of dementia, MRI can reveal patterns of brain tissue loss, which can be used to discriminate between different forms of dementia such as Alzheimer's disease and frontotemporal dementia.
There is no one test to determine if someone has dementia. Doctors diagnose Alzheimer's and other types of dementia based on a careful medical history, a physical examination, laboratory tests, and the characteristic changes in thinking, day-to-day function and behavior associated with each type.
The five-minute cognitive test (FCT) was designed to capture deficits in five domains of cognitive abilities, including episodic memory, language fluency, time orientation, visuospatial function, and executive function.
Some of the more common triggers for dementia like a change in environment, having personal space invaded, or being emotionally overwhelmed may be easier to handle if you mentally practice your response before you react.
Introduction: The five-word test (5WT) is a serial verbal memory test with semantic cuing. It is proposed to rapidly evaluate memory of aging people and has previously shown its sensitivity and its specificity in identifying patients with AD.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
There is no single definitive test for diagnosing dementia. Assessment will account for behavioural, functional and psychosocial changes, together with radiological and laboratory tests. The assessment process may take three to six months to achieve.
The SAGE test is a 12-question exam that measures cognitive functioning and may help a physician determine whether Alzheimer's is present.
On average, a person with Alzheimer's lives four to eight years after diagnosis, but can live as long as 20 years, depending on other factors.
The Mini-Cog© is a fast and simple screening test to help detect dementia in its early stages. In just 3 minutes, Mini-Cog© can help doctors and other professional care providers identify possible cognitive impairment in older patients.
Memory problems
Memory loss is often the first and main symptom in early Alzheimer's disease.
MRI is able to image the structure of the brain, which changes in dementia, to a very high resolution. For example, a characteristic sign of Alzheimer's disease is atrophy (shrinking) of a brain region called the hippocampus. This can easily be seen on an MRI scan and is currently used to aid diagnosis.
The Montreal Cognitive Assessment (MoCA) is a tool that helps healthcare professionals detect mild cognitive impairment and Alzheimer's disease in people. A 2021 study found that it is a better measure of cognitive function than the MMSE. It consists of 30 questions that take 10–12 minutes to accomplish.
The main sign of mild cognitive impairment is a slight decline in mental abilities. Examples include: Memory loss: You may forget recent events or repeat the same questions and stories. You may occasionally forget the names of friends and family members or forget appointments or planned events.
Solomon, PhD developed a brief neurocognitive screening battery to identify AD patients. The 7 Minute Screen™ consists of four individual tests (orientation, memory, clock drawing, verbal fluency). The screen can be rapidly administered and scored and therefore may be appropriate for use in the primary care setting.
The MMSE includes questions that measure:
Ability to remember a short list of common objects and later, repeat it back. Attention and ability to do basic math, like counting backward from 100 by increments of 7. Ability to name a couple of common objects. Complex cognitive function, like asking someone to draw a clock.
For most people with Alzheimer's — those who have the late-onset variety — symptoms first appear in their mid-60s or later. When the disease develops before age 65, it's considered early-onset Alzheimer's, which can begin as early as a person's 30s, although this is rare.
Dementia vs. Alzheimer's Disease: What is the Difference? Dementia is a general term for a decline in mental ability severe enough to interfere with daily life, while Alzheimer's is a specific disease. Alzheimer's is the most common cause of dementia.
It is quite common for a person with dementia, especially in the later stages, to spend a lot of their time sleeping – both during the day and night. This can sometimes be distressing for the person's family and friends, as they may worry that something is wrong.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
Skipping breakfast was associated with dementia (OR 1.26, 1.14–1.41), as was lower BMI and being older.
Someone with frontal lobe deficits may act rudely or insensitively. Dementia also alters how a person responds to their environment. A person with Alzheimer's disease may be forgetful and have trouble following conversations. They may become angry and frustrated because they cannot follow what is going on.