SENILE DEMENTIA CAUSES |
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Senile Dementia is usually caused by degeneration in the
cerebral cortex, the part of the brain responsible for thoughts,
memories, actions and personality. Death of brain cells in this
region leads to the cognitive impairment which characterizes
senile dementia.
The most common cause of senile dementia is AD,
accounting for half to three quarters of all cases. The brain of a
person with AD becomes clogged with two abnormal structures, called
neurofibrillary tangles and senile plaques. Neurofibrillary tangles
are twisted masses of protein fibers inside nerve cells, or neurons.
Senile plaques are composed of parts of neurons surrounding a group
of proteins called beta-amyloid deposits. Why these structures
develop is unknown. Current research indicates possible roles for
inflammation, blood flow restriction, and toxic molecular fragments
known as free radicals. Several genes have been associated with
higher incidences of AD, although the exact role of these genes is
still unknown.
Vascular senile dementia is estimated to cause from
5-30% of all senile dementias. It occurs from decrease in blood flow to the
brain, most commonly due to a series of small strokes (multi-infarct
senile dementia). Other cerebrovascular causes include: vasculitis from
syphilis, Lyme disease, or systemic lupus erythematosus; subdural
hematoma; and subarachnoid hemorrhage. Because of the usually sudden
nature of its cause, the symptoms of vascular senile dementia tend to begin
more abruptly than those of Alzheimer's senile dementia. Symptoms may
progress stepwise with the occurrence of new strokes. Unlike AD, the
incidence of vascular senile dementia is lower after age 75.
Other conditions which may cause senile dementia include:
- AIDS
- Parkinson's disease
- Lewy body disease
- Pick's disease
- Huntington's disease
- Creutzfeldt-Jakob disease
- brain tumor
- hydrocephalus
- head trauma
- multiple sclerosis
- prolonged abuse of alcohol or other drugs
- vitamin deficiency: thiamin, niacin, or B12
- hypothyroidism
- hypercalcemia
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| SENILE DEMENTIA RELATED ITEMS |
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