Alcoholic dementia

There are many examples of relatively straightforward use of ICP-MS for the analysis of biological fluids. Antimony has been measured in blood after a 14 1 dilution [236]. Cesium serum levels were found to be elevated in patients with alcohol dementia but not in Alzheimer s disease patients [237]. Cobalt levels in rat serum depended on the form of cobalt [238] ingested. Bismuth levels were measured in human blood and urine by using a direct injection nebulizer [239]. Lead was measured in the blood and blood plasma of smelter workers and the general population [240]. The measurement of trace elements in serum by ICP-MS has been compared to results from neutron activation analysis and proton-induced x-ray emission [241]. Semiquantitative analysis can also be used to obtain a rapid screening of samples [242]. 

Glassification of Substance-Related Disorders. The DSM-IV classification system (1) divides substance-related disorders into two categories (/) substance use disorders, ie, abuse and dependence and (2) substance-induced disorders, intoxication, withdrawal, delirium, persisting dementia, persisting amnestic disorder, psychotic disorder, mood disorder, anxiety disorder, sexual dysfunction, and sleep disorder. The different classes of substances addressed herein are alcohol, amphetamines, caffeine, caimabis, cocaine, hallucinogens, inhalants, nicotine, opioids, phencyclidine, sedatives, hypnotics or anxiolytics, polysubstance, and others. On the basis of their significant socioeconomic impact, alcohol, nicotine, cocaine, and opioids have been selected for discussion herein. 

True. Excessive alcohol use can lead to many health problems. Heart and liver disease, increased risks of strokes, stomach, liver and mouth cancer, and dementia are all associated with excess alcohol use. 

True. Excessive alcohol use can lead to serious damage to mental health. Depression, anxiety, delusions and negative changes in personality can occur. Korsakoff s psychosis occurs in some excessive users of alcohol. This form of dementia results in disorientation, loss of memory and lowered intellectual abilities. It is reversible in some sufferers through the administration of thiamine (vitamin Bj. 

Everybody suffers some intellectual and memory impairment with age. If it becomes very marked or occurs earlier in life (40+) it is known as dementia. Although it may be caused by alcoholism, cardiovascular disease such as multiple infarcts, and is often seen in the later stages of Parkinsonism, the most common cause is a neurodegenerative one, namely, Alzheimer s disease (AzD). In fact this is the primary and sole cause in over half the cases of dementia and is a contributory cause in a further quarter and the younger the patient, the more likely is the dementia to be of the Alzheimer type. 

Korsakoff s syndrome A dementia commonly associated with chronic alcohol misuse. 

Information about prescription drag use alcohol or other substance use family medical history and history of trauma, depression, or head injury should be obtained. It is important to rule out medication use as a contributor or cause of symptoms (e.g., anticholinergics, sedatives, hypnotics, opioids, antipsychotics, and anticonvulsants) as contributors to dementia symptoms. Other medications may contribute to delirium, e.g.,... 

Substance-Induced Dementias. Substances of abuse can also cause dementia. The most common is alcohol-related dementia. Chronic alcoholism leads to dementia in several ways. The poor diet of the alcoholic causes a deficiency of certain essential nutrients such as thiamine. The alcoholic often suffers recurrent head injuries from falls or altercations. Alcohol-induced liver failure can expose the brain to toxic injury. Finally, the direct toxic effects of alcohol itself on the brain can lead to dementia. In addition to alcohol, the abuse of inhalants such as paint thinner and... 

Nutritional Deficiency-Related Dementias. We have already mentioned that chronic alcoholics are subject to thiamine deficiency that can cause dementia. It usually occurs only after heavy, prolonged abuse of alcohol. In developed countries, the other key nutritional concern is vitamin deficiency. Vitamin deficiency can surprisingly strike even those with a healthy diet. Such people are missing a vital protein, intrinsic factor, which would enable them to absorb it from their digestive tract. 

The risk factors for vascular dementia are essentially the same as those for stroke and heart attack. They include high blood pressure, heart disease, diabetes mellitus, sickle cell disease, obesity, smoking, alcohol use, depression, and high cholesterol levels. 

Amnesia. Like dementia, the main feature of amnesia is memory loss. Amnesia, however, does not affect other intellectual abilities in the same manner as dementia. Distingnishing dementia from amnesia is most often a consideration when you evaluate memory problems in a chronic alcoholic. Alcoholics may become demented, but they may also develop an amnestic disorder known as Wernicke-Korsakoff syndrome. 

Naloxone is approved for use in neonates to reverse respiratory depression induced by maternal opioid use. In addition, naloxone has been used to improve circulation in patients in shock, an effect related to blockade of endogenous opioids. Other experimental and less well documented uses for naloxone include reversal of coma in alcohol overdose, appetite suppression, and alleviation of dementia from schizophrenia. Side effects of naloxone are minor. 

Unlabeled Uses Treatment of alcohol abuse, dementia, diabetic neuropathy, obsessive-compulsive disorder, panic disorder, smoking cessation... 

In addition, abnormalities have been reported in depression, alcoholism, Alzheimer s disease, and multi-infarct dementia. It is important to note that these are statistical findings in the psychiatric research setting, and CT is not sufficiently sensitive or specific to be used as a routine diagnostic test. 

Cerebral cortical atrophy (alcohol-associated dementia)... 

Other neurologic disturbances associated with alcoholism include dementia and, rarely, demyelinating disease. 

Know how abnormalities in neurotransmission underlie major psychiatric disorders, including depression, anxiety disorders, psychosis, and cognitive disorders, including dementia, and drug and alcohol abuse. 

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