Dementia after Surgery
Posted 29 June 2011 - 05:03 PM
Posted 01 July 2011 - 06:06 AM
After surgery we usually refer to the mental status issues as encephalopathy or confusion-- patients may have underlying dementia but usually it is the acute surgery causing issues.
The surgery, anesthesia, and antibiotics can all cause issues.
I generally get a urinalysis and chest X-ray and treat infection first.
Then I simplify PD meds to just sinemet at appropriate doses (remembering that lowering temporarily even it worsens PD often improves behavior)-- plus seroquel or clozaril if the med adjustments are not helpful.
I will often temporarily stop pain meds, dopamine agonists, amantadine and MAO-B inhibitors.
Having a neurologist on board is helpful and you may want to print this message for consideration.
Michael S. Okun, M.D.
Author of Amazon Kindle and Paperback 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips
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