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Treatment Options for Alzheimer's Disease

Alzheimer’s disease is a progressive brain disorder affecting nearly 7 million Americans. It is a form of dementia that slowly destroys memory and thinking skills and, eventually, the ability to carry out simple tasks. While the specific causes of Alzheimer’s are not fully known, it is characterized by changes in the brain, including amyloid beta plaques and neurofibrillary, or tau, tangle. This results in loss of neurons and their connections. These changes affect a person’s ability to remember, think and speak. In its earliest stages, Alzheimer’s may appear like lapses that might be considered a normal part of aging. A clinical evaluation by a neurologist can rule out dementia or pinpoint the specific type.

To schedule an evaluation by an Independence Health System Neurologist at the Memory Clinic call:
Greensburg: 724-261-5619
Butler: 724-431-1613, select option 2

What is Alzheimer's?

Alzheimer's disease is a brain disorder that causes gradual and progressive decline in memory, thinking, behavior, and social skills. It’s important to understand that Alzheimer's is a form of dementia. Dementia is the general term for a group of neurological conditions that affect memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life. In nearly 70 percent of all dementia cases, Alzheimer’s is the cause.

According to the Alzheimer's Association, Alzheimer's disease kills more people than breast and prostate cancer combined.

Is Alzheimer’s a Genetic or Inherited Disease?

While some cases of Alzheimer’s can be caused by a single inherited gene, most cases are not inherited. Alzheimer’s can be influenced by a combination of genes, lifestyle, and environmental factors.

Symptoms of Alzheimer's

While Alzheimer's disease and other forms of dementia may share similar symptoms, Alzheimer's is characterized by progressive memory loss and cognitive decline.

  • Memory loss that disrupts daily life
  • Challenges in planning or solving problems
  • Difficulty completing familiar tasks
  • Confusion with time or place, like dates, seasons or the passage of time
  • Trouble understanding visual images and spatial relationships with simple things like balance or driving
  • New problems with words in conversation or writing
  • Misplacing or putting things in odd places and losing the ability to retrace steps
  • Decreased or poor judgment and decision making
  • Withdrawal from work, hobbies or social activities
  • Changes in mood and personality, such as: confusion, suspicion, depression, fear or anxiety

While some of these symptoms may be related to typical age-related change, it’s important to talk to your primary care provider or loved ones if you have concerns because there are treatment options available.

How is it Diagnosed?

There is no single test that can determine if a person is living with Alzheimer’s or another form of dementia. Providers will use diagnostic tools combined with medical history and other information, including neurological exams, cognitive and functional assessments, brain imaging (MRI, CT, PET) and cerebrospinal fluid or blood tests to make a definitive diagnosis of Alzheimer’s disease. The following are two diagnostic tools used at the Memory Clinic at IHS to diagnose Alzheimer’s and help guide treatment planning.

  • Cerebrospinal Fluid (CSF) Analysis - CSF is a clear fluid that surrounds and protects the brain and spinal cord that can be extracted through a lumbar puncture. This analysis uses a group of laboratory tests to measure the substances in the CSF to detect any presence of disease.
  • Amyloid Positron Emission Tomography (PET) Scan – The amyloid protein is a key characteristic of Alzheimer's disease. This diagnostic PET scan measures the buildup of abnormal amyloid protein in the brain, helping to detect amyloid plaques in patients being tested for Alzheimer’s

Treatment Options

Alzheimer’s is thought to be caused by an abnormal build-up of proteins in and around brain cells. This abnormal build-up can disrupt cell function and damage brain cells. While there is currently no cure for Alzheimer's, there are treatment options that may change disease progression, and drug and non-drug options that may help treat symptoms.

  • Oral medications can help treat the symptoms of Alzheimer’s and slow down the decline in thinking skills, so a person with Alzheimer's can experience a better quality of life.
  • Infusion treatments help to treat the root cause of the disease. These IV treatments attack the amyloid plaque thought to be responsible for a toxic buildup causing damage to brain cells. For the first time in the history of Alzheimer's, these infusion treatments have been shown to slow Alzheimer’s disease decline.

How to Start Treatment

If you or a loved one is concerned about dementia and Alzheimer’s disease, it’s important to talk to your provider sooner rather than later. Treatment options are available and evolving.

To schedule an evaluation by an Independence Health System Neurologist at the Memory Clinic call:
Greensburg: 724-261-5619
Butler: 724-431-1613, select option 2

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