Dementia due to metabolic causes

Treatment

Treatment focuses on the cause of the disorder and on controlling symptoms. Treatment of the cause may include:

• Dietary supplements
• Medicines

As the symptoms get worse, the person may need 24-hour monitoring and care in the home or in a care facility.

Long-term care may include:

• Controlling aggression or agitation with behavior modification or medication
• Safety measures to protect the person from injury

Outlook (Prognosis)

The outcome varies depending on the cause of the dementia and the amount of damage to the brain.

Possible Complications

• Brain injury that is not reversible
• Complications from the condition that is causing the dementia
• Inability to function or care for self
• Inability to interact with others
• Increased infections anywhere in the body
• Side effects of medications used to treat the disorder

When to Contact a Medical Professional

Call your health care provider if you have symptoms of dementia.

Call for an appointment if your symptoms get worse or continue, even with treatment for the metabolic cause, or if you have new symptoms.

Go to the emergency room or call the local emergency number (such as 911) if there is a sudden change in mental status or a life-threatening emergency.

References

Farlow MR, Cummings JL. Effective pharmacologic management of Alzheimer's disease. Am J Med, 2007;120:388-397.

Goetz CG. Goetz: Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: Saunders;2007.