Diagnosis of Pick’s Disease in Seniors
The doctor is able to establish the diagnosis after examining and interviewing the patient, talking to people around them who are often concerned about the antisocial behavior of the person. In such cases, an examination by a psychiatrist is necessary, which should reveal harsh humor, impulsiveness, lack of a critical attitude towards one’s own behavior, hostility, hypersexuality. As part of a neurological examination, a neurologist determines aphasia, a change in gait. In some cases, additional consultation is required. To determine areas of atrophy, an MRI of the brain is shown. During the study, the thinning of the cortex in the frontal and temporal lobes is clearly visualized. But the absence of changes is not a reason to exclude Pick’s disease. Indeed, in the initial stages, pathological foci may not be visualized.
A lumbar puncture is indicated for detecting prions. The obtained biological material is sent for further research with the definition of tau proteins. To differentiate Pick’s disease with other types of dementia, neuropsychological testing is conducted. Drug therapy: At the moment, Pick’s disease is an incurable disease. Therefore, drug therapy is used only to increase the duration and improve the quality of life of the patient.
Note: Acetylcholinergic drugs are widely used in the treatment of other dementias, but they are not effective in Pick’s disease. According to the indications, antipsychotics, antidepressants, and serotonergic drugs are often prescribed. Patients with impaired speech function are recommended to master alternative methods of communication. In the later stages, patients need around-the-clock care and observation. If the patient has lost the ability to self-service, it is necessary to take measures to prevent the development of bedsores, congestive pneumonia, and thrombosis.
Pick disease prognosis:
The disease has an unfavorable prognosis – life expectancy usually does not exceed 7-15 years. As the disease progresses, it becomes more difficult for patients to control their own behavior, and patients tend to lose the ability to serve themselves. In the latter stages of the disease, a person needs around-the-clock surveillance. Cigna Medicare Supplement rate increases for policies for the elderly @ https://www.medisupps.com/cigna-medicare-supplemental-insurance-2018/: Older individuals above 65 must consider Medicare supplement plans for covering deductible and coinsurance.