19 Jun The many faces of Alzheimer’s
“Neurocognitive disorders often present themselves vaguely and can be easy to misdiagnose. In the early stages of the disease, memory loss may not be the only key feature of dementia. In addition, several types of dementia may not present with memory loss, but instead involve other cognitive domains, including executive functioning, visual/spatial functioning, praxis, language or behavioral domains. If we try to diagnose these types of dementia with a traditional memory screening, we will fail because memory is not the primary problem. Providing an accurate diagnosis requires updated clinical and neurological education to focus on each of the neurocognitive domains.
“Clinical presentation of Alzheimer’s disease and the syndrome of dementia can be confusing. Although the majority of dementia secondary to Alzheimer’s disease usually presents as memory loss and forgetfulness, Alzheimer’s disease can also present in an atypical way, with non-amnestic presentations at the onset of the disease. These cases tend to occur at a younger age and often have a different clinical course than the traditional amnestic variant of Alzheimer’s disease. Here are three examples of atypical presentations of Alzheimer’s disease:”