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Understanding and Treating Memory Loss

The predominant cause of memory loss is a family of diseases called Alzheimer’s Disease and related disorders (ADRD) which includes but is not limited to Alzheimer ‘ s Disease, vascular dementia, Parkinson ‘ s Disease, and Frontal Lobe dementia. In addition to ADRD, many other conditions cause memory loss. The tables that follow list the major causes of memory loss, the appropriate treatment, and the result of treatment.

Alzheimer’s Disease and Related Disorders

Disease

Treatment

Result of Treatment

Alzheimer ‘ s Disease

Cholinesterase inhibitor and glutamate modulation

Stabilization and sometimes improvement

Parkinson ‘ s Disease

Dopaminergic stimulation

Stabilization and sometimes

improvement

Frontal Lobe Dementia

No established treatment

Not applicable

Vascular Disease

Treat illness and risk factors

Stabilization and sometimes

improvement

Other Causes of Memory Loss and Dementia

Disease

Treatment

Result of Treatment

Anxiety

Anti-anxiety supplements or meds

Improvement

ADHD

Stimulant supplements or meds

Improvement

Depression

Antidepressant supplement or meds

Improvement

Thyroid disease

Thyroid hormone

Improvement

Diabetes

Diet, exercise, meds

Improvement

Metabolic problems

Diagnose etiology and treat

Improvement

Alcohol dependence

Alcohol cessation

Improvement

Drug abuse

Drug cessation

Improvement

Vit. B-12 deficiency

Vit. B-12 replacement

Improvement

Vit. D deficiency

Vit. D replacement

Improvement

Brain infections

IV antibiotics

Improvement

Medications

Adjust medication

Improvement

Fatigue

Diagnose cause and treat

Frequent improvement

Head injury

Cognitive therapy and medication

Frequent improvement

Hydrocephalus

Shunt

Frequent improvement

Cancer

Diagnose and treat

Frequent improvement

Cancer chemotherapy

Brain healthy program

Frequent improvement

March 7, 2009 – 9:12 am

The bacteria Helibacter pylori has been found to be one of the main cause of ulcers. In an important new study, just published in the Journal of Neurology, it was also found to also be involved with Alzheimer’s disease. If this finding holds up, everyone with memory issues should be screened for the bacteria and treated for it.

Eradication of Helicobacter pylori may be beneficial in the management of Alzheimer’s disease

Abstract Infectious agents have been proposed as potential causes of Alzheimer’s disease (AD). Recently, we documented a high prevalence of Helicobacter pylori (Hp) infection in patients with AD.

We aim to access the effect of Hp eradication on the AD cognitive (MMSE: Mini Mental State Examination and CAMCOG: Cambridge Cognitive Examination for the Elderly) and functional (FRSSD: Functional Rating Scale for Symptoms of Dementia) status parameters.

In the first part of the study, a total of 50 consecutive patients with AD and 30 age-matched anaemic controls underwent an upper gastrointestinal endoscopy, and gastric mucosal biopsies were obtained to detect the presence of Hp infection by histologic analysis and rapid urease test.

Serum anti-Hp-specific IgG level was analysed by enzyme-linked immunosorbent assay. In the second part, Hp-positive AD patients received a triple eradication regimen (omeprazole, clarithromycin and amoxicillin), and all patients were followed up for 2 years, while under the same treatment with cholinesterase inhibitors.

Hp was detected in 88% of AD patients and in 46.7% of controls (P < 0.001). Hp eradication was successful in 84.8% of treated patients.

At the 2-year clinical endpoint, cognitive and functional status parameters improved in the subgroup of patients where Hp eradication was successful (P < 0.001 and P = 0.049 for MMSE and CAMCOG, respectively; P < 0.001 for FRSSD), but not in the other patients.

Hp eradication may positively influence AD manifestations, suggesting a possible common link between Hp and AD.

http://www.springerlink.com/content/83147756538×7031/

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