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Alzheimer's Disease

Alzheimer's Disease: An Introduction

Alzheimer's Brain: Degenerative Changes

Caregiving for the Alzheimer's patient: Is there a problem?

Long Term Care and Dementia

Long Term Care and Alzheimer's

Dementia: What are the various different diagnosis?

Dementia Diagnosis Page #2

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Alzheimer’s Brain: Degenerative Changes 

Alzheimer’s brain: Changes do occur 

In the Alzheimer's brain nerve cells stop functioning, lose connections with each other and ultimately die.  The death of neurons in key parts of the Alzheimer's brain causes those areas to shrink and results in substantial abnormalities in memory, thinking and behavior. 

The Alzheimer's early symptoms are derived from the destruction of neurons in particular parts of the Alzheimer's brain controlling memory, especially the hippocampus (which is why the early signs of Alzheimer's are related to memory impairment).  As nerve cells in the hippocampus of the Alzheimer's brain break down, short-term memory fails and the ability to do familiar tasks begin to decline as well. 

The disease begins to attack the cerebral cortex which is responsible for some of the higher memory functions, such as language, reasoning, perception and judgment.  Sometimes, unwarranted emotional outbursts (known as catastrophic reactions), and disturbing behaviors such as wandering and episodes of extreme agitation may appear after the early symptoms of Alzheimer's appear. 

Tangles and plaques in the Alzheimer's brain: 

Amyloid plaques and neurofibrillary tangles are some of the hallmarks of the changes that take place in the Alzheimer's brain.  Although, these changes may only be confirmed at autopsy, they are found in virtually every patient with Alzheimer's disease.  At the present time, it is not clear whether these abnormal deposits are the cause or byproduct of the disease process in the Alzheimer's brain, although researchers have now come to understand how plaques and tangles are formed.  The increasing knowledge in the area of Alzheimer's disease has helped with new attempts to block the underlying disease process that may lead to their buildup.  The eventual success of these strategies may ultimately provide the basis for prevention or treatment in the future, if these plaques and tangles are determined to be the cause of Alzheimer's disease. 

Amyloid plaques are known to develop in areas of the Alzheimer's brain related to memory, and are believed to be a mixture of abnormal proteins and nerve cell fragments.  They may develop from beta-amyloid, a protein that breaks off from a larger amyloid precursor protein.  Beta-amyloid is formed when the amyloid precursor protein that is embedded in the cell membrane is broken down for disposal.  Enzymes called secretases split the protein in two and form the beta-amyloid fragment in the Alzheimer's brain. 

Also, See Alzheimer’s brain-degenerative changes Page 2

Information from The Johns Hopkins Medical Guide to Health After 50

Additional information and webpage by Paul Susic M.A. Licensed Psychologist Ph.D Candidate (Geriatric Psychologist)

 

 

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