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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dementia After Surgery?

Hi, may I answer your health queries right now ? Please type your query her
A relative had surgery over 40 days ago, under general anesthetic, and is still suffering signs/symptoms of delirium or dementia. The docs have run blood tests, MRIs, CT scans, EEGs, CAM tests, etc, and insist it is dementia/alzheimer's. I'm not convinced and want to know what medications are commonly prescribed for post-op situations like this?
Wed, 3 Sep 2014
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Psychiatrist 's  Response
In post-op delirium, a low dose benzodiazepine (such as lorazepam) or a low dose anti-psychotic (such as haloperidol) may be given. Some experts use no psychotropic drugs at all.
The main aim is to find out what caused delirium. It could be due to a long list of causes: electrolyte imbalance, infections, endocrine problems, respiratory or cardiovascular problems, neurological problems like stroke.
I am a geriatric psychiatrist and I have seen patients who were not earlier diagnosed with Alzheimer's disease land in delirium after surgery with general anesthesia. On careful questioning, family members often admit that the patient was not as sharp intellectually in the past year or so as he was all his life. There is usually history of forgetfulness for recent events, repeated conversations, repeated questioning, misplacing things, at time confusion, difficulty with reading, getting lost in familiar surroundings, not recognizing familiar people or often not remembering names of relatives/friends etc.
You should ask your relation's family members such things. You may consult a psychiatrist who is trained to find out history of dementia.
Hope this answers your question.
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What Causes Dementia After Surgery?

In post-op delirium, a low dose benzodiazepine (such as lorazepam) or a low dose anti-psychotic (such as haloperidol) may be given. Some experts use no psychotropic drugs at all. The main aim is to find out what caused delirium. It could be due to a long list of causes: electrolyte imbalance, infections, endocrine problems, respiratory or cardiovascular problems, neurological problems like stroke. I am a geriatric psychiatrist and I have seen patients who were not earlier diagnosed with Alzheimer s disease land in delirium after surgery with general anesthesia. On careful questioning, family members often admit that the patient was not as sharp intellectually in the past year or so as he was all his life. There is usually history of forgetfulness for recent events, repeated conversations, repeated questioning, misplacing things, at time confusion, difficulty with reading, getting lost in familiar surroundings, not recognizing familiar people or often not remembering names of relatives/friends etc. You should ask your relation s family members such things. You may consult a psychiatrist who is trained to find out history of dementia. Hope this answers your question.