Dementia praecox Health Dictionary

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Dementia Praecox: From 1 Different Sources

An outdated term for severe schizophrenia, especially that affecting adolescents or young adults.
Health Source: BMA Medical Dictionary
Author: The British Medical Association

Dementia

An acquired and irreversible deterioration in intellectual function. Around 10 per cent of people aged over 65 and 20 per cent of those aged 75 or over are affected to some extent. The disorder is due to progressive brain disease. It appears gradually as a disturbance in problem-solving and agility of thought which may be considered to be due to tiredness, boredom or DEPRESSION. As memory failure develops, the affected person becomes bewildered, anxious and emotional when dealing with new surroundings and complex conversations. In professional skilled workers this is frequently ?rst recognised by family and friends. Catastrophic reactions are usually brief but are commonly associated with an underlying depression which can be mistaken for progressive apathy. The condition progresses relentlessly with loss of recent memory extending to affect distant memory and failure to recognise even friends and family. Physical aggression, unsocial behaviour, deteriorating personal cleanliness and incoherent speech commonly develop. Similar symptoms to those in dementia can occur in curable conditions including depression, INTRACRANIAL tumours, SUBDURAL haematoma, SYPHILIS, vitamin B1 de?ciency (see APPENDIX 5: VITAMINS) and repeated episodes of cerebral ISCHAEMIA. This last may lead to multi-infarct dementia.

Treatment If organic disease is identi?ed, it should, where possible, be treated; otherwise the treatment of dementia is alleviation of its symptoms. The affected person must be kept clean and properly fed. Good nursing care in comfortable surroundings is important and sedation with appropriate drugs may be required. Patients may eventually need institutional care. (See ALZHEIMER’S DISEASE.)... dementia

Senile Dementia

DEMENTIA was traditionally divided into presenile and senile types; this is increasingly recognised as an arbitrary division of a condition in which there is a general and often slow decline in mental capabilities. Around 10 per cent of people over 65 years of age and 20 per cent over 75 are affected by dementing illness, but people under 65 may also be affected. Treatable causes such as brain tumour, head injury, ENCEPHALITIS and alcoholism are commoner in younger people. Other causes such as cerebrovascular disease – which is a major factor, especially among older people – or ALZHEIMER’S DISEASE are not readily treatable, although ANTIHYPERTENSIVE DRUGS for the former disorder may help, and symptomatic treatment for both is possible.

Individuals with dementia suffer a gradual deterioration of memory and of the ability to grasp what is happening around them. They often cover up their early failings and the condition may ?rst become apparent as a result of emotional outbursts or uncharacteristic behaviour in public. Eventually personal habits and speech deteriorate and they become thoroughly confused and di?cult to look after. Treatment is primarily a matter of ameliorating the symptoms, coupled with a sympathetic handling of the sufferer and the relatives. Admission to hospital or nursing home may be necessary if relatives are unable to look after the patient at home. (See also MEDICINE OF THE AGEING.)... senile dementia

Dementia, (atherosclerotic)

Arteriosclerotic disease. Due to atheromatic change in blood vessels of the brain. Infarcts.

Symptoms. High cholesterol levels, pathological laughing and crying, depression, delusion. Alternatives. Evening Primrose, Oats, Alfalfa, Garlic. German Chamomile, Gotu Kola, Ginkgo, Ginseng. Hawthorn, Rutin.

Powders. Formula: Hawthorn 3; Ginkgo 2; Lily of the Valley 1. Dose: 500mg (two 00 capsules or one- third teaspoon) thrice daily.

Liquid Extracts. Formula as for powders. Dose: one 5ml teaspoon thrice daily.

Tinctures. Formula as above. Dose: two 5ml teaspoons thrice daily.

Guar gum. Lowers serum fat levels, body weight and blood pressure.

Aromatherapy: massage and inhalation: Rosemary.

Arnica. Lotion: 1 part Tincture Arnica to 20 parts distilled extract Witch Hazel. Wipe over forehead and hair-line 1-3 times daily.

Diet. Egg-yolk, Lecithin, Oatmeal porridge.

Supplements. Vitamins A, B-complex, B12, C and E. Choline, Folic acid, Magnesium, Manganese, Zinc. ... dementia, (atherosclerotic)

Dementia, (senile)

Progressive loss of brain cells, atrophy; caused by stress and a number of diseases: Huntingdon’s Chorea, Alzheimer’s Disease, Pick’s Disease, syphilis, trauma, and by certain sedative, anxiolytic, diuretic and hypotensive drugs.

Symptoms. Disorientation, failure of memory for recent events, failure to comprehend, unable to form elemental judgements, confusion, ataxia (lack of coordination of muscles), emotional instability with outbursts, forgetful.

Alternatives. Remedies known to sustain the brain. Nervines and alteratives believed to leach from the body deposits of toxic minerals: aluminium, sulphur, mercury, etc. Gotu Kola, Ginseng, Ginkgo, Vitamin E conserve oxygen. Pulsatilla – success reported for mental outbursts. Vasodilator of value. Ginkgo favourably reported.

Teas. Basil, Ginseng, Gotu Kola, German Chamomile, Horsetail, Yarrow.

Tea. Formula. Equal parts, Ginkgo, German Chamomile, Yarrow. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes; 1 cup thrice daily.

Tablets/capsules. Prickly Ash, Ginseng, Ginkgo, Kelp, Pulsatilla.

Powders, Liquid Extracts, Tinctures. Combine: Gotu Kola 3; Vervain 2; Rosemary 1. Doses.

Powders: 500mg; two 00 capsules or one-third teaspoon. Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. In water, honey or fruit juice thrice daily.

Incontinence. A frequent problem for which American Cranesbill is indicated.

Aromatherapy. Inhalation: Feverfew, Thyme.

Contra-indicated: Black Cohosh.

Diet. Low salt. Low fat. High fibre. Egg yolk. Lecithin.

Supplements. Folic acid, Vitamins B-complex, B12, C and E. Selenium, to conserve oxygen. Magnesium, Manganese, Zinc.

General. Home help. Meals on Wheels. Service from local Psychogeriatric unit. ... dementia, (senile)

Frontotemporal Dementia

(FTD) a relatively rare neurodegenerative disease characterized by progressive loss of neurons predominantly involving the frontal and/or temporal lobes. First described by Arnold Pick in 1892, it was originally called Pick’s disease. Common symptoms include significant changes in social and personal behaviour, *abulia, blunting of emotions, and language deficits. Compared with *Alzheimer’s disease, a younger population is affected (age 55–65) and more cases have a genetic cause.... frontotemporal dementia

Vascular Dementia

see dementia.... vascular dementia

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