What are the late symptoms of cerebral atrophy?

What are the late symptoms of cerebral atrophy?

Many people have suffered from brain atrophy in their daily lives. After suffering from brain atrophy, it is very important to choose certain methods for treatment. Generally, in the later stages of cerebral atrophy, the main symptoms include answering questions irrelevantly, changes in body movements, frequent talking to oneself, deafness, and numbness in the hands and feet.

Typical symptoms

1. Systemic symptoms In the early stage of the disease, patients often experience dizziness, headache, insomnia, weak waist and knees, numbness of hands and feet, tinnitus and deafness, and gradually become unresponsive, slow in movement, mumbling, and answering irrelevant questions. In terms of the body, it is often manifested as senility, graying of the hair and loss of teeth, dry skin, pigmentation, or hemiplegia, epilepsy, ataxia, tremor, etc. Neurological symptoms may be present or absent.

2. Memory impairment: Recent memory loss occurs early, such as frequently losing items, forgetting promises, etc. As the disease progresses, memory is completely lost.

3. Changes in personality and behavior. Personality changes are often early symptoms of the disease. Patients become depressed and dislike interacting with others; or they have no ideals, desires, and lack affection for their children and relatives; or they have rigid and strange living habits, an irritable personality, increased speech or verbose repetition, and are suspicious and selfish; or they pay special attention to their own health and safety, and are often entangled by some minor discomforts; or they manifest as delirium or mania, and have hallucinations, visual hallucinations, auditory hallucinations, aphasia, and agnosia. All the patient's higher-level emotional activities, sense of shame, responsibility, honor and morality, etc. are reduced to varying degrees, and changes in sleep rhythm may also occur.

4. Mental decline and dementia are manifested as a comprehensive decline in intellectual activities such as understanding, judgment, and calculation ability. They are unable to adapt to social life and have difficulty in doing work and housework. They gradually become unable to correctly answer their own name and age, do not know when they are hungry or full when eating, do not know the way home after going out, and collect waste paper and other items as treasures. In the later stages of the disease, the patient was bedridden all day, unable to take care of himself, unable to distinguish between relatives and strangers, had incontinence, spoke slurredly, and eventually suffered from complete dementia.

Diagnosis

1. Clinical manifestations: Diffuse cerebral cortical atrophy is mainly characterized by dementia, mental retardation, memory impairment, personality changes, and behavioral disorders. Some are accompanied by hemiplegia and epileptic seizures. Focal cerebral atrophy is mainly characterized by personality and behavioral changes; cerebellar atrophy is mainly characterized by language disorders, limb ataxia and intention tremor.

2. Neuroimaging examinations such as CT and MRI can reveal a decrease in brain tissue volume and enlargement of the ventricles. If the brain shrinks, the gap between the cerebral cortex and the skull plate will increase, the cerebral sulci will become wider and deeper, the gyri will become flatter and smaller, the lateral ventricles and the third ventricle will expand, and the density around the anterior and posterior corners of the lateral ventricles will decrease. Cerebellar atrophy may show that the cerebellar sulci become wider and deeper, the volume decreases, the image appears like branched leaves, the cavities around the cerebellum increase, and the fourth ventricle expands.

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