MRCEM Notes

Dementia: causes

Common causes
  • Alzheimer's disease
  • Cerebrovascular disease: multi-infarct dementia (c. 10-20%)
  • Lewy body dementia (c. 10-20%)

Rarer causes (c. 5% of cases)
  • Huntington's
  • CJD
  • Pick's disease (atrophy of frontal and temporal lobes)
  • HIV (50% of AIDS patients)

Important differentials, potentially treatable
  • hypothyroidism, Addison's
  • B12/folate/thiamine deficiency
  • syphilis
  • brain tumour
  • normal pressure hydrocephalus
  • subdural haematoma
  • depression
  • chronic drug use e.g. Alcohol, barbiturates
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