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Alzheimer Disease Sourcebook, 5th Edition PDF

657 Pages·2011·1.61 MB·English
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Health Reference Series _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Fifth Edition _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ 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_____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ SOURCEBOOK _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ________________________________________________________(cid:78)_____________________________________________________________ _________________________________________________________________________________________________________________ ___ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Basic Consumer Health Information about _____________________________________________________________________________________________________________________ _____________A___l_z__h__e__i__m___e__r__ _D___i__s_e__a___s__e__ _a__n___d__ _O___t__h__e__r__ _F__o__r__m___s__ _o___f_ _D___e__m___e__n___t_i__a__,_ ____________ _____________________________________________________________________________________________________________________ ____________I_n___c_l__u__d___i_n__g___ _M___i_l__d__ _C___o__g__n___i_t_i__v__e__ _I_m____p__a__i__r__m___e__n___t_,_ _C___o__r__t_i__c__o__b__a___s_a___l_ __________ _____________________________________________________________________________________________________________________ ____________D___e__g__e__n___e__r__a__t_i__o__n___,_ _D___e__m___e__n___t_i_a___ _w___i_t__h__ _L__e__w___y__ __B__o__d___i_e__s__,_ _F__r__o__n___t_o__-____________ _____________________________________________________________________________________________________________________ temporal Dementia, Huntington Disease, Parkinson _____________________________________________________________________________________________________________________ _____________________________D___i_s__e__a___s_e__,_ __a__n___d__ _V__a___s_c__u___l_a__r__ _D___e__m____e__n__t__i_a______________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _________________A__l_o__n___g__ _w___i_t_h___ _I_n___f_o__r__m___a___t_i_o___n__ _a___b__o__u___t_ _R__e__c__e__n___t_ _R___e__s_e___a__r__c__h__ _______________ _____________________________________________________________________________________________________________________ on the Diagnosis and Prevention of Alzheimer _____________________________________________________________________________________________________________________ _____________D___i_s__e__a___s_e__ __a__n___d__ _G___e__n___e__t_i_c__ _T__e__s__t_i__n__g__,_ _T__i__p__s__ _f_o__r__ _M____a__i_n___t_a___i_n___i_n__g__ ____________ _____________________________________________________________________________________________________________________ _______________C___o__g__n___i_t_i__v__e__ _F__u__n___c__t_i_o___n__i_n___g__,_ _S__t__r__a__t_e__g___i_e__s__ _f_o__r__ _L__o___n__g__-_T__e__r__m___ ______________ _____________________________________________________________________________________________________________________ ________________P___l_a___n__n___i_n__g___,_ _A__d___v__i_c__e__ _f_o___r_ __C__a___r__e__g__i_v__e__r__s__,_ _a__ __G__l__o__s_s__a___r__y__ _o__f_ _______________ _____________________________________________________________________________________________________________________ Related Terms, and Directories of Resources _____________________________________________________________________________________________________________________ _________________________f_o___r_ __A__d__d___i_t__i_o__n___a__l_ __H___e__l_p__ _a___n__d___ _I_n___f_o__r__m____a__t_i__o__n__________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ __________________________________________________E___d__i__t_e__d__ __b__y__ _________________________________________________ Amy L. Sutton __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ 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__________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ___________________________________B_a__s_i__c_ _C__o_n__s__u_m___e__r_ _H__e__a_l_t_h__ _I_n__f_o__r_m___a_t__i_o_n__ _a__b__o_u__t_ _A__l_z_h__e_i_m___e__r_ _____________________________ __________________________________________________________________________________________________________________________________________ _________________________________ D___i_s_e_a__s_e__ _a__n__d__ O___t_h__e_r_ _F__o__r_m___s_ _o__f_ _D__e_m___e__n_t__i_a_,_ _I_n__c__l_u_d__i_n__g__ _M__i_l_d__ ____________________________ __________________________________________________________________________________________________________________________________________ ______________________________ C__o__g_n__i_t_i_v_e__ _I_m__p__a__i_r_m___e_n__t_,_ _C__o_r__t_i_c_o__b_a__s_a__l_ _D__e__g_e_n__e__r_a__t_i_o__n_,_ _D__e__m__e__n__t_i_a__ ________________________ ________________________________w__i_t_h__ _L_e__w__y__ _B_o__d__i_e__s_,_ F__r_o__n__t_o__t_e_m___p__o_r__a__l _D___e_m___e_n__t_i_a__,_ _H__u__n__t_i_n__g_t_o__n__ __________________________ __________________________________________________________________________________________________________________________________________ ____________________________________D__i_s_e__a_s__e_,_ _P_a__r_k__i_n__s_o__n__ _D__i_s_e__a__s_e_,_ _a__n__d__ V__a__s_c_u__l_a__r_ _D__e__m___e_n__t_i_a________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ___________________________________A__l_o__n__g_ _w__i_t_h__ _I_n__fo__r_m___a__t_i_o__n__ a__b__o__u_t_ _R__e_c__e_n__t_ _R__e_s_e__a__r_c_h__ _o_n__ _t_h__e_ ______________________________ __________________________________________________________________________________________________________________________________________ _______________________________D__i_a__g_n__o__s_i_s_ _a__n__d__ P__r_e__v_e__n__t_i_o_n__ _o__f_ A__l_z__h_e__i_m__e__r_ _D__i_s_e__a__s_e_ _a__n__d_ _G__e__n__e_t_i_c__ _________________________ ______________________________T_e_s__t_i_n_g__,_ T__i_p__s_ _f_o_r_ _M___a__i_n_t_a__i_n__i_n__g_ _C__o__g_n__i_t_i_v__e_ _F_u__n__c_t_i_o__n__i_n__g_,_ _S_t_r__a_t_e__g_i_e__s_ ________________________ __________________________________________________________________________________________________________________________________________ _______________________________f_o_r__ L__o__n__g_-_T_e_r__m__ _P__l_a__n__n__in__g__,_ A__d__v__i_c_e_ _f_o__r_ _C__a__r_e_g__i_v_e__r_s_,_ _a__ G___lo__s_s__a_r__y_ _o__f_ _________________________ __________________________________________________________________________________________________________________________________________ ________________________________R__e_l_a__t_e_d__ _T_e__r_m___s_,_ _a_n__d__ _D__i_r_e__c_t_o__r_i_e__s_ _o_f_ _R__e_s_o__u__r_c__e_s_ _f_o__r_ _A__d_d__i_t_i_o__n__a__l_ __________________________ __________________________________________________________________________________________________________________________________________ _________________________________________________________H__e_l_p__ _a_n__d__ _I_n__f_o_r__m__a__t_i_o__n_____________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ _________________________________________________________________E_d__i_t_e__d__ b__y______________________________________________________________ __________________________________________________________________________________________________________________________________________ _____________________________________________________________A__m__y__ _L__._ _S_u__t_t__o_n___________________________________________________________ __________________________________________________________________________________________________________________________________________ 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__________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________________P_._O__. _B_o__x_ _3_1_-_1_6_4__0_, _D__e_t_r_o_i_t_, _M___I_ 4__8_2_3_1_________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ Bibliographic Note Because this page cannot legibly accommodate all the copyright notices, the Bibliographic Note portion of the Preface constitutes an extension of the copyright notice. Edited by Amy L. Sutton Health Reference Series Karen Bellenir, Managing Editor David A. Cooke, MD, FACP, Medical Consultant Elizabeth Collins, Research and Permissions Coordinator Cherry Edwards, Permissions Assistant EdIndex, Services for Publishers, Indexers * * * Omnigraphics, Inc. Matthew P. Barbour, Senior Vice President Kevin M. Hayes, Operations Manager * * * Peter E. Ruffner, Publisher Copyright © 2011 Omnigraphics, Inc. ISBN 978-0-7808-1150-8 Library of Congress Cataloging-in-Publication Data Alzheimer disease sourcebook : basic consumer health information about.../ edited by Amy L. Sutton. -- 5th ed. p. cm. -- (Health reference series) Includes bibliographical references. Summary: "Provides basic consumer health information about symptoms, diagnosis, and treatment of Alzheimer disease and other dementias, along with tips for coping with memory loss and related complications and advice for caregivers. Includes index, glossary of related terms and directory of resources"--Provided by publisher. ISBN 978-0-7808-1150-8 (hardcover : alk. paper) 1. Alzheimer's disease--Popular works. 2. Dementia--Popular works. I. Sutton, Amy L. II. Title. III. Series. RC523.2.A45 2011 616.8'31--dc23 2011024979 Electronic or mechanical reproduction, including photography, recording, or any other infor- mation storage and retrieval system for the purpose of resale is strictly prohibited without permission in writing from the publisher. The information in this publication was compiled from the sources cited and from other sources considered reliable. While every possible effort has been made to ensure reliability, the publisher will not assume liability for damages caused by inaccuracies in the data, and makes no warranty, express or implied, on the accuracy of the information contained herein. This book is printed on acid-free paper meeting the ANSI Z39.48 Standard. The infinity symbol that appears above indicates that the paper in this book meets that standard. Printed in the United States Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 15,000 topics and the volumes in which they are covered. Preface ..........................................................................................xiii Part I: Facts about the Brain and Cognitive Decline Chapter 1—The Basics of a Healthy Brain ...................................3 Chapter 2—The Changing Brain in Healthy Aging ....................11 Chapter 3—Understanding Memory Loss ...................................15 Chapter 4—What Is Dementia? ...................................................21 Chapter 5—Dementia: Causes and Risk Factors ........................35 Chapter 6—Statistics on Dementia Prevalence and Mortality ............................................................51 Part II: Alzheimer Disease (AD): The Most Common Type of Dementia Chapter 7—Facts about AD ..........................................................65 Chapter 8—What Happens to the Brain in AD? .........................73 Chapter 9—Signs and Symptoms of AD ......................................81 Section 9.1—Seven Warning Signs of AD ............82 Section 9.2—Symptoms of AD ..............................83 v Chapter 10—Clinical Stages of AD ..............................................87 Chapter 11—Younger-Onset AD ..................................................95 Chapter 12—The Genetics of AD ...............................................103 Section 12.1—Genes Play an Important Role in the Development of AD .........................................104 Section 12.2—Gene Linked to AD Plays Key Role in Cell Survival .........108 Section 12.3—Variations of Apolipoprotein E Linked to Increased Risk of AD .........................................110 Chapter 13—Health Conditions Linked to AD ..........................113 Section 13.1—Down Syndrome and AD ..........114 Section 13.2—Obesity May Raise Risk of AD and Dementia .....................116 Section 13.3—Type 2 Diabetes and AD Risk .....................................118 Chapter 14—Traumatic Brain Injury, AD, and Dementia ...............................................................121 Chapter 15—Other Factors That Influence AD Risk ................125 Section 15.1—Alcohol Abuse Linked to AD and Dementia .....................126 Section 15.2—Secondhand Smoke ..................143 Section 15.3—Heart Health ............................145 Part III: Other Dementia Disorders Chapter 16—Mild Cognitive Impairment ..................................151 Chapter 17—Degenerative Neurological Disease .....................159 Section 17.1—Corticobasal Degeneration .......160 Section 17.2—Dementia with Lewy Bodies ....161 Section 17.3—Frontotemporal Dementia .......167 Section 17.4—Huntington Disease .................172 Section 17.5—Parkinson Disease ....................176 vi Chapter 18—Vascular Dementia ...............................................199 Section 18.1—What Is Vascular Dementia? ...200 Section 18.2—Binswanger Disease (Subcortical Vascular Dementia) .................................202 Section 18.3—Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) ................................204 Section 18.4—Multi-Infarct Dementia............205 Chapter 19—Dementia Caused by Infection .............................207 Section 19.1—Creutzfeldt-Jakob Disease .......208 Section 19.2—Acquired Immunodeficiency Syndrome (AIDS) Dementia Complex ....................................213 Chapter 20—Other Health Conditions That Cause Dementia ...............................................................219 Section 20.1—Cancer, Delirium, and Dementia ..................................220 Section 20.2—Dementia: A Symptom of Normal Pressure Hydrocephalus ..........................225 Part IV: Recognizing, Diagnosing, and Treating Symptoms of AD and Dementias Chapter 21—Forgetfulness: Knowing When to Ask for Help ...231 Chapter 22—Talking with Your Doctor .....................................237 Chapter 23—Diagnosing AD ......................................................249 Section 23.1—How Is AD Diagnosed? .............250 Section 23.2—AD Guidelines Updated for First Time in Decades.........254 Chapter 24—Testing for AD .......................................................259 Section 24.1—Mental Status Tests .................260 vii Section 24.2—Positron Emission Tomography (PET) and Single Photon Emission Computed Tomography (SPECT) ....................................263 Section 24.3—Magnetic Resonance Imaging (MRI) ..........................265 Section 24.4—ApoE Genotyping .....................268 Section 24.5—Biomarker Testing for AD: Checking for Tau Protein and Amyloid Beta 42 in Cerebrospinal Fluid .................271 Chapter 25—Overview of AD Interventions ..............................275 Chapter 26—AD Medications .....................................................279 Chapter 27—Medications for Cognitive Changes .....................283 Chapter 28—Participating in AD Clinical Trials and Studies ...........................................................287 Chapter 29—Can AD Be Prevented? .........................................295 Chapter 30—Recent AD Research .............................................307 Section 30.1—Amyloid Deposits May Predict Risk for AD ..................308 Section 30.2—Ovary Removal May Increase Risk of Dementia ......................310 Section 30.3—Changes Occur in High-Risk Seniors before AD Symptoms Appear .......................................311 Section 30.4—Family with AD May Carry Clues to Treatment ..................315 Section 30.5—Insulin May Improve Memory in People with AD .....................318 Part V: Living with AD and Dementias Chapter 31—Talking about Your Diagnosis ..............................323 Section 31.1—Telling Others about an AD Diagnosis .......................324 viii

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