🧠 Dementia & Types
Dementia is not a single disease — it is a syndrome encompassing 15+ distinct pathologies that cause progressive cognitive decline severe enough to interfere with daily life. It is not a normal part of aging.
Key Facts
Approximately 55 million people worldwide live with dementia (2019), with projections reaching 139-152 million by 2050. Dementia is the 7th leading cause of death globally and one of the major causes of disability and dependency among older people.…
Dementia vs Alzheimer's
Alzheimer's disease accounts for 60-80% of dementia cases, but it is only one of many causes. Vascular dementia, Lewy body dementia, frontotemporal dementia, and LATE (TDP-43 encephalopathy) are all distinct conditions with different pathologies, tre…
Symptoms and Progression
Early symptoms vary by type but commonly include: progressive memory loss (especially recent events), difficulty with planning and problem-solving, confusion with time or place, trouble with visual/spatial relationships, word-finding difficulties, mi…
Who Gets Dementia?
Age is the strongest risk factor — risk doubles every 5 years after age 65. However, dementia is NOT inevitable with aging. Women account for approximately 2/3 of Alzheimer's patients, partly due to greater longevity but also due to biological factor…
Vascular Dementia (5-10%)strong evidence
The second most common form, caused by impaired blood flow to the brain. Types include multi-infarct, subcortical (Binswanger's), and strategic single-infarct. Typically shows stepwise decline (vs gradual in AD) with prominent executive dysfunction. …
Lewy Body Dementia (5-10%)strong evidence
Caused by alpha-synuclein protein aggregates (Lewy bodies). Two forms: Dementia with Lewy Bodies (DLB) and Parkinson's Disease Dementia (PDD). Key features: fluctuating cognition, vivid visual hallucinations, REM sleep behavior disorder, parkinsonism…
Frontotemporal Dementia (2-5%)strong evidence
A group of disorders caused by progressive nerve cell loss in the frontal and temporal lobes. Behavioral variant (bvFTD): personality changes, disinhibition, apathy, loss of empathy. Semantic variant PPA: progressive loss of word meaning. Nonfluent v…
LATE — The Great Mimickerstrong evidence
Limbic-Predominant Age-Related TDP-43 Encephalopathy (LATE) involves TDP-43 protein deposits in the hippocampus and amygdala. It mimics Alzheimer's clinically — the main symptom is memory loss. Cannot be definitively diagnosed in living patients yet …
Mixed Dementia
More common than previously recognized — autopsy studies show most elderly have multiple co-existing pathologies. AD + vascular is the most common combination. Up to 50% of AD brains also contain alpha-synuclein (Lewy body) pathology. Complicates tre…
Chronic Traumatic Encephalopathy (CTE)moderate evidence
Caused by repetitive head impacts (athletes, military, domestic violence). Tau-based pathology in a unique pattern (perivascular, sulcal depths). Can only be diagnosed at autopsy — no validated in-vivo biomarkers. No treatment or cure; symptom manage…
Down Syndrome-Associated AD
Trisomy 21 provides an extra APP gene copy, causing amyloid overproduction. Amyloid plaques nearly universal by age 40; dementia typically diagnosed in mid-50s. 30% have AD dementia in their 50s; 50% in their 60s. Potential candidates for anti-amyloi…
Other Types
Normal Pressure Hydrocephalus: treatable with a shunt; gait/cognition/urinary triad. Alcohol-related / Korsakoff syndrome: thiamine deficiency; confabulation. HIV-associated neurocognitive disorder: improved with antiretrovirals. Creutzfeldt-Jakob Di…