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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Rapid Decline In Mental Function In An Aged Person?

98YO FEMALE, 1MO RAPID DECLINE IN MENTAL FUNCTION, SEEMS TO UNABLE TO EXPRESS THOUGHTS. MILD R EYE LATERAL DEVIATION, INTERMITTENT SLOW TREMOR, POOR RECENT AND REMOTE MEMORY. NO LATERALIZING SIGNS, ABLE TO CALL RELATIVES BY NAME AND EXPRESS NEEDS. HX OF LUMPECTOMY FOR BREAST CA 4 YRS AGO, PACER, A FIB, HTN MED MS & BENADRYL OCC FOR SLEEP. WAS MENTALLY SUPERNORMAL 2 MONTHS AGO, 2 COLLEGE DEGREES.
posted on Fri, 14 Mar 2014
Twitter Mon, 7 Jul 2014 Answered on
Twitter Mon, 7 Jul 2014 Last reviewed on
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Psychiatrist,  's  Response
hiiiii

at the age of 98 almost most of the brain function shows more or less kind of dysfunctions

if cerebral atrophy become more prominent than it seems more sudden worsening in symptoms
and she had a lot of medical history too
so at age of 98 it is expected
due to medical illness with HTN there are possible chance of small lacunar infract in brain also but can be confirm by CT scan
age related senile atrophy also produces same changes


so if it is fast in progression u need to consult neurologist
but as per my opinion it can be possible to stop progression but we will not reverse back all damages that she had already
so supportive and only symptomatic management is possible
thank u hope for the best
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What Causes Sudden Rapid Decline In Mental Function In An Aged Person?

hiiiii at the age of 98 almost most of the brain function shows more or less kind of dysfunctions if cerebral atrophy become more prominent than it seems more sudden worsening in symptoms and she had a lot of medical history too so at age of 98 it is expected due to medical illness with HTN there are possible chance of small lacunar infract in brain also but can be confirm by CT scan age related senile atrophy also produces same changes so if it is fast in progression u need to consult neurologist but as per my opinion it can be possible to stop progression but we will not reverse back all damages that she had already so supportive and only symptomatic management is possible thank u hope for the best