Neurological disorders

Alzheimer’s disease and dementia

🔴 Symptoms

  • Recent memory loss
  • Disorientation in time and space
  • Difficulty performing familiar tasks
  • Problems with language and comprehension
  • Changes in personality or behavior
  • Irritability, anxiety, depression
  • Progressive loss of autonomy

🩺 Treatment

  • Medications to slow progression (e.g., donepezil, memantine)
  • Cognitive therapies to stimulate memory
  • Care by a multidisciplinary team (psychologist, neurologist, etc.)
  • Home adaptations for safety
  • Support for caregivers and support groups
  • Treatment of associated disorders (anxiety, insomnia…)

📌 Summary

Definition: Alzheimer's disease is a common form of progressive dementia that affects memory, reasoning, language, and autonomy. It causes progressive deterioration of cognitive functions due to degeneration of brain cells.
Affected population: Mainly people over 65 years old, although early-onset forms can occur before age 60. Women are slightly more affected than men.
Common causes: Advanced age, genetic predisposition (APOE-e4 gene), previous head injuries, cardiovascular diseases, low educational level, social isolation, sedentary lifestyle, unbalanced diet.

🛡️ Prevention

  • Regular physical activity
  • Balanced diet (Mediterranean type)
  • Intellectual stimulation (reading, cognitive games…)
  • Maintaining social connections
  • Control of risk factors (hypertension, diabetes, cholesterol)
  • Regular medical check-ups after age 60

Stroke

🔴 Symptoms

  • Sudden paralysis on one side of the body (face, arm, leg)
  • Difficulty speaking or understanding language
  • Blurred vision or loss of vision in one eye
  • Severe and unusual headaches
  • Loss of balance or coordination
  • Sudden numbness or weakness
  • Mental confusion or altered consciousness

🩺 Treatment

  • Emergency call and immediate hospitalization
  • Medication to dissolve the clot (ischemic stroke)
  • Surgery in case of hemorrhagic stroke
  • Rehabilitation (physiotherapy, speech therapy, occupational therapy)
  • Management of complications (blood pressure, blood sugar, pain...)
  • Psychological support and patient care

📌 Summary

Definition: A stroke (cerebrovascular accident) is a sudden interruption of blood flow to a part of the brain, caused either by a clot (ischemic stroke) or by bleeding (hemorrhagic stroke). It leads to the death of brain cells deprived of oxygen.
Population affected: Mainly adults over 55 years old, but it can also occur in younger people. Men are slightly more affected, although women often experience more severe forms.
Common causes: High blood pressure, diabetes, smoking, high cholesterol, atrial fibrillation, obesity, sedentary lifestyle, family history of stroke.

🛡️ Prevention

  • Blood pressure control
  • Monitoring diabetes and cholesterol
  • Smoking cessation and limiting alcohol
  • Regular physical activity
  • Healthy and balanced diet
  • Regular intake of prescribed treatments
  • Medical consultation in case of warning signs

Parkinson’s disease

🔴 Symptoms

  • Resting tremors (often on one side)
  • Slowness of movement (bradykinesia)
  • Muscle stiffness
  • Balance and coordination problems
  • Difficulty writing or speaking clearly
  • Reduced facial expressions (masked face)
  • Fatigue, sleep disturbances, and depression

🩺 Treatment

  • Medications to stimulate or replace dopamine (e.g., L-dopa)
  • Complementary therapies: physiotherapy, speech therapy, occupational therapy
  • Psychological and social support
  • Adapted physical activity
  • Regular neurological follow-up
  • In some cases, deep brain stimulation (neurosurgery)

📌 Summary

Definition: Parkinson's disease is a chronic progressive neurological disorder that affects the central nervous system. It is mainly characterized by movement disorders (tremors, muscle rigidity, slowness) caused by the degeneration of dopamine-producing neurons in the brain.
Affected population: Mainly people over 60 years old, although it can appear earlier in some cases (early-onset form). It affects both men and women, with a slight male predominance.
Common causes: Exact causes are unknown, but genetic factors, exposure to environmental toxins, family history, and aging are suspected in its development.

🛡️ Prevention

  • No absolute prevention known to date
  • Diet rich in antioxidants (fruits, vegetables, omega-3)
  • Regular physical activity
  • Avoid prolonged exposure to pesticides or toxic substances
  • Medical follow-up if there is a family history
  • Regularly stimulate cognitive functions

Epilepsy

🔴 Symptoms

  • Seizures (violent involuntary movements)
  • Brief absences (blank stare, temporary loss of contact)
  • Sudden loss of consciousness
  • Confusion after the seizure
  • Unusual movements of the eyes or mouth
  • Aura sensations (strange sounds, smells, or feelings before a seizure)
  • Mood or memory disturbances

🩺 Treatment

  • Antiepileptic drugs (AEDs)
  • Regular neurological follow-up
  • Strict adherence to prescribed treatment
  • Surgery in cases of drug-resistant epilepsy
  • Vagus nerve stimulation (in some cases)
  • Education for the patient and family to manage seizures

📌 Summary

Definition: Epilepsy is a chronic neurological disorder characterized by recurrent seizures caused by abnormal electrical activity in the brain. These seizures may manifest as convulsions, loss of consciousness, or unusual sensations.
Affected population: It can affect anyone at any age, but is more common in children, adolescents, and elderly people.
Common causes: Brain injuries (head trauma, stroke), nervous system infections (meningitis, encephalitis), congenital abnormalities, brain tumors, genetic factors, or sometimes no identifiable cause (idiopathic epilepsy).

🛡️ Prevention

  • Prevention of head injuries (helmets, road safety)
  • Prompt treatment of brain infections (meningitis, encephalitis)
  • Control of diabetes and hypertension
  • Avoidance of neurotoxic substances (alcohol, drugs)
  • Proper prenatal care to prevent birth disorders
  • Avoid lack of sleep and intense stress

Multiple sclerosis

🔴 Symptoms

  • Unexplained chronic fatigue
  • Vision problems (blurred vision, eye pain)
  • Numbness or tingling in the limbs
  • Loss of coordination or balance
  • Urinary or bowel dysfunction
  • Difficulty speaking or swallowing
  • Muscle weakness and spasms
  • Cognitive issues (memory, concentration)

🩺 Treatment

  • Immunomodulatory medications to slow progression
  • Corticosteroids to treat flare-ups
  • Physical therapy and occupational therapy to preserve mobility
  • Speech therapy for speech or swallowing difficulties
  • Psychological support
  • Specialized neurological follow-up

📌 Summary

Definition: Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system, where the immune system attacks the protective sheath of the nerves (myelin), disrupting communication between the brain and the rest of the body.
Affected population: Mainly young adults between 20 and 40 years old, with a predominance in women.
Common causes: Exact causes remain unknown, but several factors may be involved: genetic predisposition, viral infections, environmental factors (vitamin D deficiency, smoking), and immune system dysregulation.

🛡️ Prevention

  • No formal preventive method known
  • Avoid vitamin D deficiency (moderate sun exposure, diet)
  • Maintain a healthy lifestyle (exercise, balanced diet)
  • Limit frequent viral infections during childhood
  • Reduce chronic stress
  • Medical follow-up if there is a family history

Amyotrophic lateral sclerosis (ALS)

🔴 Symptoms

  • Progressive muscle weakness (hands, legs, trunk)
  • Frequent muscle cramps
  • Loss of coordination and frequent falls
  • Difficulty speaking (dysarthria)
  • Difficulty swallowing (dysphagia)
  • Increasing difficulty breathing over time
  • Weight loss and significant fatigue
  • No early impairment of intellectual functions

🩺 Treatment

  • Medications to slow disease progression (e.g., riluzole)
  • Progressive respiratory support (non-invasive ventilation)
  • Physiotherapy to maintain mobility
  • Speech therapy to improve communication and swallowing
  • Adapted nutrition and gastrostomy in severe cases
  • Palliative care to improve quality of life
  • Psychological support and family assistance

📌 Summary

Definition: Amyotrophic lateral sclerosis (ALS), also known as Charcot disease, is a severe neurodegenerative disease that affects motor neurons responsible for controlling voluntary muscles, leading to progressive paralysis.
Affected population: Mainly adults between 40 and 70 years old, with a slight male predominance. Rare in young people.
Common causes: In most cases, the cause is unknown (sporadic form), but about 5 to 10% are genetic in origin (familial form). Other possible factors include oxidative stress, glutamatergic imbalances, environmental toxins, and genetic mutations.

🛡️ Prevention

  • No known prevention methods to date
  • Genetic screening in rare familial cases
  • Avoid prolonged exposure to certain toxic substances (pesticides, heavy metals)
  • Medical follow-up if there is a family history of ALS
  • Adoption of a healthy and balanced lifestyle
  • Participation in clinical research to improve future prevention

Coma and traumatic brain injuries

🔴 Symptoms

  • Prolonged loss of consciousness (coma)
  • Unresponsiveness to external stimuli
  • Slowing or cessation of reflex functions
  • Non-reactive pupils to light
  • Absence of voluntary movement
  • Altered breathing rhythm
  • Possible convulsions in case of severe injury
  • Visible signs of trauma (bruises, wounds)

🩺 Treatment

  • Immediate management in intensive care
  • Assisted ventilation if breathing is compromised
  • Maintenance of vital functions (blood pressure, oxygen, blood sugar)
  • Brain imaging (CT scan, MRI) to assess injuries
  • Surgery in case of hematoma or brain edema
  • Treatment of seizures or associated infections
  • Neurological rehabilitation in case of awakening

📌 Summary

Definition: Coma is a state of deep and prolonged unconsciousness caused by severe brain injury. It can result from traumatic brain injuries, strokes, infections, or intoxications. Traumatic brain injuries (TBI) specifically refer to damage to the brain caused by a direct or indirect impact to the head.
Affected Population: All age groups can be affected, with a higher incidence among young adults (traffic accidents, violent sports) and the elderly (falls).
Common Causes: Traffic accidents, falls, assaults, head trauma, stroke, oxygen deprivation (hypoxia), drug overdose, brain infections (encephalitis, meningitis).

🛡️ Prevention

  • Wearing helmets when cycling, motorcycling, and during certain sports
  • Mandatory seat belt use in cars
  • Reducing fall risks at home (especially for elderly people)
  • Road safety education and accident prevention
  • Strict supervision of extreme and contact sports
  • Rapid intervention in case of head trauma

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