Alzheimer's Clinic

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Alzheimer's disease (also known as Alzheimer or AD) is a progressive degenerative brain disease, and the most common type of dementia. People affected by AD have progressive and frequent memory loss. With time they may become withdrawn and develop trouble in thinking, planning, working, interacting socially or looking after themselves.

Our Alzheimer’s and Memory Clinic is a specialist clinic for people with neurological problems resulting in memory loss, confusion, difficulty in speech and understanding, change in personality, aggressive behaviour, hallucinations or depression.

The clinic offers a comprehensive screening and care program for AD and other memory disorders, including neurology consultation, physical and cognitive rehabilitation, and psychotherapy. Since cognitive and behavioural problems affect the family along with the patient, we also offer family counselling services, help target rehabilitative goals and equip the family for KH supported long term home care.

The mission of the Clinic is to join hands with the patient and their family to alleviate suffering by offering the best in medical care by combining the latest scientific know-how, medical technology and personalised attention.

 

How does Alzheimer’s develop?

Alzheimer is associated with deposition of abnormal proteins in the brain, brain cell death and brain shrinkage. The exact causes and risk factors of Alzheimer are subject of active research.

 

Who can develop Alzheimer’s?

Alzheimer usually develops in people over the age of 65 years. The risk of developing Alzheimer increases with age. It affects both men and women. A rare genetic form of the disease, called, early onset Alzheimer, develops between 30-60 years of age.

 

How is Alzheimer’s diagnosed?

  • Step 1: Cognitive Assessment to detect the type of memory and cognitive impairment
  • Step 2: Tests to find the cause of memory loss
 

What are the tests to diagnose Alzheimer?

  • Cognitive Assessment: The brain is highly organised and each part supports a special ability like memory, planning, emotional processing, facial recognition and others. Cognitive assessment involves answering questions and solving puzzles to identify which brain regions or networks are working sub-optimally. Cognitive assessment, therefore, helps diagnose the type of dementia as well as grade its severity and judge treatment response.
  • Laboratory: There may be a need for specialised tests like metabolic markers, vitamin levels, endocrine assessment, cerebrospinal fluid examination, infection and tumour markers as advised by the specialist doctor.
  • Laboratory: There may be a need for specialised tests like metabolic markers, vitamin levels, endocrine assessment, cerebrospinal fluid examination, and infection and tumour markers as advised by the specialist doctor.
  • 3 Tesla MRI: Specialised MRI protocols like Morphometric MR, volumetric MR, Diffusion Tensor Imaging (DTI), Functional MRI and MR angiography can help elucidate brain networks and help diagnose AD early and monitor the disease. These techniques also help identify other conditions mimicking AD.
  • PET Scan: This is a recent advance in diagnosing AD and other dementias. PET scan records the activity of various brain regions by using a specialised imaging technique.
  • Electroencephalogram (EEG): EEG is a recording of brain rhythms by placing electrodes (stickers like in an ECG) on the scalp. This helps identify the stage of AD as well as exclude other dementias.

At present there is no cure for AD but there are drugs available to alleviate symptoms. These drugs can improve cognitive abilities, and delay functional decline to an extent. Medical treatments include drugs that alter levels of chemical involved in transmitting signals between brain cells. Effective medical treatments are available for behavioural problems, such as depression, agitation and aggression. These problems are common in people with AD, and can be very distressing especially to the caregivers.

 

The onset of ad can be prevented by:

  • Education
  • Maintaining Active Lifestyle (Physical / Mental)
  • Healthy eating habits
  • Regular health checks, to maintain normal Blood Pressure, Blood Sugar, Cholesterol and Body Weight, Avoiding smoking & excessive alcohol intake
 

Why get checked for Alzheimer’s?

Early diagnosis of AD can maximise benefit from the available treatments and also allow the patient to take part in decisions about living options, medical treatment, financial and legal matters. The patient and the caregivers can also participate in building the right care team and social support network.

Please note: Most people with memory problems do not have AD. There are many types of dementia and correct diagnosis is essential for proper prognostication and to institute appropriate treatment.

 

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