docnikki
Forum Guru
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vascular dementia vs norm pressure hyd both have the same clinical triad--->
gait disturbance plus urinary incontinence plus dememtia.
How can we differentiate clinically..thanks
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| sprint123
Forum Guru
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Vascular dementia--can be accompanied by psychiatric and mood disturbances.Severe depression is more common in vascular dementia.There can be some pre-disposing factors such as hypertension.
Hope this helps
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| new_n_lost
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NPH Dementia is characterized by prominent memory loss and bradyphrenia. It progresses less rapidly than the dementia of Alzheimer disease. Focal deficits and/or seizures are uncommon. Patients with NPH show subcortical cognitive deficits including forgetfulness, decreased attention, inertia, and bradyphrenia distinct from that of Alzheimer disease and other cortical dementias. They also do not present with the "aphasia-apraxia-agnosia syndrome," which is typical for cortical dementia.
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| docnikki
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thank you sprint and new and lost
Dear new and lost, I could not understand the difference between cortical and subcortical dementia..could u plz clearify thanks.
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| new_n_lost
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In most kinds of dementia, autopsy reveals widespread degeneration in the cerebral cortex - such as the plaques and tangles which are the hallmark of Alzheimer's disease.
Alzheimer's disease and frontotemporal dementia are therefore sometimes classed as "cortical dementias."
In other kinds of dementia, there is targeted damage to regions lying under the cortex, giving rise to the category known as "subcortical dementias".
This terminology is somewhat misleading, because both classes of dementia can cause damage to both cortical and subcortical areas.
However, it is roughly true that the earliest symptoms in "cortical" dementia include difficulty with high-level behaviors such as memory, language, problem-solving and reasoning; these functions tend to be less impaired in "subcortical" dementia.
Subcortical dementia is more likely to affect attention, motivation and emotionality. People with subcortical dementia often show early symptoms of depression, clumsiness, irritability or apathy. As the disease progresses, though, memory and judgment problems arise, and the end stages of subcortical dementia result in the same total breakdown of brain function as in the cortical dementias
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mdwannabe
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moreover...in Vascular demetia..the onset of smx is somewhat bumpy...every several months..to years there is a new smx...or sudden worsening of a particular smx...with an apparent plateau in between.
in NPH..the smx make apperance and stay...or worsen steadily
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| docnikki
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thanks a ton new and lost and mdwannabe.
GL
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