Senile dementia

Senile dementia (synonym: senile dementia, senile psychosis) - a disease which is based on a progressive and irreversible collapse of memory. First forgotten that the acquired recently, i.e. in the last years of his life, and then, gradually, and all the events of the past, including youth and childhood. The disease develops more often in 65-75 years; less often in 45-55 or after 75 years. There are several forms of dementia.
A simple form. The initial symptom is the loss of former identity. In some cases, there is a point of some traits: thrift is replaced by greed, determination, persistence, accuracy - routine pedantry, predisposition to the teachings - despotic behavior and so on, while other personal traits begin to blur. In other patients the initial personality shift is determined mainly by erasing their inherent previously character traits that greater severity of the disease. The range of interests tapering increasingly limited food, worries about his physical well-being with the close supervision of the regularity of their physiological shipments. Callousness, selfishness, indifference to a close, you lose the rhythm, a subtle understanding of human relationships. All new seems petty and immature, dislikes and irritation, easily passing in wickedness. Patients grumpy, grouchy, very touchy, petty-picky and childish capricious.. In the initial period of the disease may occur disorders drives - vagrancy, gathering and accumulation of rubbish, drunkenness, promiscuity. Often marked ideas material damage with suspicious attitude towards people most close - relatives and neighbors.
Over time, increase memory disorders, developing type progressive amnesia (see Memory disorders). In the advanced stage of the disease is marked complete disorientation in the place, time and surrounding: the sick forget their age, names of children, husband, wife, confused closest relatives among themselves, for example daughter to call her mother. Often it is stated that the situation in the past: patients find themselves young, and his parents live, tell that go to school, going to marry, etc., during the Day, patients often sleepy, while in the evening and at night they become fussy and often with the business as collected in the host clothing and bedding, saying that they should go "back to the village, to the mother." In advanced cases develops amnestic and less incomplete sensory aphasia (see). The outcome is always the mental insanity and gradually increasing cachexia. Death occurs most often from acceding somatic diseases, occurring usually barely noticeable.
Alzheimer's disease (an early form of dementia). Occurs most malignant. Starts at 45-55 years with phenomena progressive amnesia, which soon join amnestic and sensory aphasia, apraxia (see), Alexis, agraphia (see Aphasia) and acalculia (see). For Alzheimer's disease characterized by the emergence of a rudimentary epileptic seizures. Often mentioned parafii-reposition or replace the letters in the word or words in the sentence and logomania - multiple occurrences of the same word or syllable. Mood with features of gloominess irritation or anger.
Confabulatory form (chronic presbyopia) occurs when complications senile dementia atherosclerosis. It is determined: value-complacent background mood, correct and live speech, mobility with indefatigable pursuit of stupid activities, numerous confabulario (fictions)giving a picture of the so-called "life in the past."
When complications of senile dementia somatic diseases occurs dizziness delusional character (delirious form, acute presbyopia). Dizziness is defined poverty and sketchy quality of illusions and hallucinations, agitation most often occurs within the bed. Usually there is a professional or musicismusic delirium (see Consciousness).
Patients senile dementia require placement in a psychiatric hospital, where they can be provided with the care, supervision and dietary meal and treatment acceding somatic diseases. This is still and limited curative care.
Cm. also Predtechenskii psychosis.