Aphasia Awareness Month

June is National Aphasia Awareness Month, a month dedicated to increasing understanding of aphasia. This acquired communication disorder impairs a person’s ability to process language but does not affect their intelligence.  

Aphasia affects the ability to speak and understand others, causing most people with the disorder to have trouble reading and writing. 

The most common cause of aphasia is stroke. About 25 to 40 percent of stroke survivors are afflicted with aphasia. It can also be a result of a head injury, a brain tumor, or other neurological causes. 

There are six types of aphasia, including: 

  • Global aphasia is the most severe form of aphasia and is applied to patients who can produce few recognizable words and understand little or no spoken language. People with global aphasia can’t read or write. It is often seen immediately after the patient has suffered a stroke and may rapidly improve if the damage to the brain has not been too extensive. However, with greater brain damage, there may be severe and lasting disability. 
  • Broca’s aphasia, or non-fluent aphasia, is a form of aphasia in which the speech output is severely reduced and is limited mainly to short utterances of less than four words. A person’s vocabulary access is limited, and so is their ability to form sounds. 
  • Mixed non-fluent aphasia is a form of aphasia that applies to people with sparse and effortful speech, which can resemble severe Broca’s aphasia. However, they remain limited in their speech comprehension and do not read or write beyond an elementary level. 
  • Wernicke’s aphasia, or fluent aphasia, is a form of aphasia in which the ability to grasp the meaning of spoken words is impaired. However, the ease of producing connected speech is not much affected. Reading and writing are often severely impaired. 
  • Anomic aphasia is a form of aphasia that is applied to people left with a persistent inability to supply the words for the things they want to say, particularly significant nouns and verbs. 
  • Primary progressive aphasia (PPA) is a neurological syndrome in which language capabilities become slowly and progressively impaired. Unlike the other forms of aphasia that result from stroke or brain injury, PPA is caused by Alzheimer’s or frontotemporal lobar degeneration. 

A healthcare provider can diagnose aphasia by performing physical and neurological exams. They can also use imaging tests, such as an MRI and a CT scan, to identify what is causing aphasia. 

Aphasia can also be diagnosed with the help of a speech-language pathologist who can complete a comprehensive language assessment to confirm the presence of aphasia and determine the appropriate course of language treatment. 

The assessment helps find out whether the person can: 

  • Name common objects 
  • Engage in a conversation 
  • Understand and use words correctly 
  • Answer questions about something read or heard 
  • Repeat words and sentences 
  • Follow instructions 
  • Answer yes and no questions and respond to open-ended questions about common subjects 
  • Read and write 

There are several treatments for aphasia, including: 

Speech and language rehabilitation therapy aims to improve the ability to communicate and help restore as much language as possible. This is done by teaching the person with aphasia how to make up for lost language skills and find other communication methods. This therapy: 

  • Starts early 
  • Often works in groups 
  • May include the use of computers 

Medications are being studied to treat aphasia that may improve blood flow to the brain and enhance its ability to recover or help replace the depleted chemicals in the brain. 

Brain stimulations, such as transcranial magnetic and direct current stimulation, are being studied to help improve the ability to name things. 

Because aphasia is often a sign of a serious problem, such as a stroke, seek emergency medical care if you suddenly develop any symptoms. 

If you are experiencing any symptoms of aphasia, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Men’s Health Month- Health Screenings for Men

June is Men’s Health Month. This observance aims to raise awareness about preventable health problems that affect men and boys.  

Statistics show men are less likely than women to seek medical attention when something affects their health. Men are also less likely to have preventative screenings and checkups with their healthcare providers. This is a problem as early detection of a medical condition is the best way to effectively treat and manage it. 

Additionally, avoiding or delaying checkups or screenings could result in a treatable condition becoming severe and/or fatal. 

The U.S. Preventative Services Task Force (USPSTF) publishes a list of recommended, age-specific screening guidelines for men to help them manage their health: 

Screenings guidelines recommended for men ages 18-39 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colon cancer screenings 
  • Dental examinations 
  • Prediabetes and type 2 diabetes screenings 
  • Eye examinations 
  • Immunizations  
  • Skin examinations 
  • Infectious disease screenings 

Screenings guidelines recommended for men ages 40-64 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colorectal cancer screenings 
  • Prostate cancer screenings 
  • Osteoporosis screening 
  • Lung cancer screening 
  • Infectious disease screening 
  • Immunizations 
  • Eye examinations 
  • Dental examinations 
  • Skin examinations 

It is important to visit your healthcare providers regularly, even if you are feeling healthy. These visits can help: 

  • Screen for any medical issues 
  • Encourage a healthy lifestyle 
  • Assess your risk for any future medical problems 
  • Update vaccinations and other preventative care services 
  • Help you get to know your healthcare provider in case of an illness 

If you are experiencing any medical problems or would like to receive health screenings, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center, by calling (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Restless Leg Syndrome

Restless legs syndrome (RLS), or Willis-Ekbom disease, is a condition that causes a strong urge to move the legs, typically accompanied by an uncomfortable sensation. This sensation usually occurs in the evening or at night when sitting or lying down. Moving the legs eases the discomfort for a short time.  

There are two types of restless leg syndrome: early onset and late onset. 

Early onset restless leg syndrome is diagnosed before the age of 45, usually runs in your biological family, and progresses slowly. 

Late-onset restless leg syndrome is diagnosed after the age of 45 and progresses more quickly. 

Restless leg syndrome affects between 7% and 10% of the U.S. population and is more common among Caucasian people and females. 

The symptoms of restless leg syndrome include: 

  • An uncomfortable sensation in the legs that causes the urge to move them 
  • A temporary feeling of relief when the legs move 
  • Sensations that worsen while resting 
  • Twitchy legs or leg jerks in the evening and while sleeping 

Restless leg syndrome symptoms can affect sleep and can cause: 

  • Sleep disruptions, difficulty falling or staying asleep 
  • Fatigue or daytime sleepiness 
  • Behavior or mood changes 
  • An urge to get out of bed to stretch or move the legs 
  • Depression or anxiety 
  • Difficulty paying attention, remembering things, or concentrating 

When a person experiences restless leg syndrome, they feel sensations that make them want to move their legs and feet. These sensations include: 

  • Crawling 
  • Itching  
  • Aching  
  • Throbbing 
  • Pulling or tugging 
  • Burning 

There isn’t a known cause for restless leg syndrome. However, researchers believe it may be caused by an imbalance of dopamine, the brain chemical that sends messages to control muscle movement. 

Other factors that may contribute to the risk of developing restless leg syndrome include: 

  • Genetics  
  • Medications, such as antihistamines, antidepressants, or anti-nausea medications 
  • Having an underlying medical condition, such as an iron deficiency 

Other medical conditions can cause restless leg syndrome, including: 

  • Anemia 
  • Pregnancy 
  • Diabetes 
  • Kidney disease 
  • Peripheral neuropathy 
  • Substance abuse disorder 

There are several triggers, such as alcohol, caffeine, nicotine, stress, and certain medications, that can make restless leg syndrome symptoms worse. 

To diagnose restless leg syndrome, a healthcare provider will perform a physical exam to review your symptoms and ask about your medical and family medical history. They may also perform a neurological exam, blood tests, and recommend an overnight sleep study. The criteria they will use to confirm a diagnosis of restless leg syndrome include: 

  • You have the urge to move your legs, usually occurring with uncomfortable sensations like aching or pulling. 
  • Symptoms begin or worsen during periods of rest or inactivity. 
  • You have partial or total relief when stretching, walking, or exercising the affected muscles. 
  • Your symptoms are worse or only occur in the evening or at night. 
  • Another medical condition didn’t cause your symptoms. 

Treating restless leg syndrome includes taking medications or changing your routine at home by following recommended at-home therapies to help relieve your symptoms and help you feel more comfortable.  

If you are experiencing any symptoms of restless leg syndrome, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

REM Sleep Behavior Disorder

Rapid eye movement (REM) sleep behavior disorder occurs when a person unknowingly, physically acts out their vivid, often bad dreams with vocal sounds and sudden, often violent arm and leg movements during REM sleep.

People don’t normally move during REM sleep, which is a normal stage of sleep that occurs many times during the night.

About 20% of a person’s sleep is REM sleep, the usual time when dreaming occurs, primarily during the second half of the night.

REM sleep behavior disorder may be linked to neurological conditions, such as:

  • Lewy body dementia
  • Parkinson’s disease
  • Multiple system atrophy

The onset of REM sleep behavior disorder can be gradual or sudden, and it can worsen over time. Episodes of the disorder occur occasionally or several times a night.

Symptoms of REM sleep behavior disorder include:

  • Movements, such as kicking, punching, arm flailing, or jumping from bed, in response to action-filled or violent dreams, such as being chased or fighting off an attack
  • Noises, such as talking, laughing, shouting, emotional outcries, or even cursing
  • Being able to recall the dream if awoken during the episode

Usually, the nerve pathways in the brain that prevent muscles from moving are active during normal REM sleep, which results in temporary paralysis of the body. However, in REM sleep behavior disorder, the nerve pathways no longer work, causing a person to physically act out their dreams.

There are several risk factors associated with the development of REM sleep behavior disorder, including:

  • Having a certain type of neurodegenerative disorder
  • Taking certain medications
  • Having narcolepsy
  • Being male and over 50 years old

Additionally, recent evidence indicates there may also be several specific environmental or personal risk factors for REM sleep behavior disorder, including:

  • Occupational pesticide exposure
  • Farming
  • Smoking
  • A previous head injury

REM sleep behavior disorder can cause various complications, including:

  • Injury to yourself or your sleeping partner
  • Distress to your sleeping partner or other people living in your home
  • Social isolation for fear that others may become aware of your sleep disruption

To diagnose REM sleep behavior disorder, a healthcare provider reviews your medical history and symptoms. The evaluation can include:

  • Physical and neurological exam
  • Nocturnal sleep study
  • Talking with your sleeping partner

A healthcare provider uses the symptom criteria in the International Classification of Sleep Disorders, Third Edition (ICSD-3). The criteria include:

  • You have repeated times of arousal during sleep where you talk, make noises, or perform complex motor behaviors, such as punching, kicking, or running movements, that often relate to the content of your dreams
  • You recall dreams associated with these movements or sounds
  • If you awaken during an episode, you are alert and not confused or disoriented
  • A sleep study shows you have an increase in muscle activity during REM sleep
  • Your sleep disturbance is not caused by another disturbance, a mental health disorder, medication, or substance abuse

REM sleep behavior disorder can be the first indication of the development of a neurodegenerative disease, such as Parkinson’s disease, multiple system atrophy, or dementia with Lewy bodies.

Treatment for REM sleep behavior disorder may include physical safeguards and medications.

Physical safeguards make it safer for you and your bed partner.

Medications such as melatonin and clonazepam can be prescribed to help treat REM sleep behavior disorder.

If you are experiencing any symptoms of REM sleep behavior disorder, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

IBS Awareness Month

April is observed as IBS Awareness Month, a month dedicated to raising awareness about irritable bowel syndrome (IBS), a common disorder that affects the large intestine.    

Researchers are unclear of what exactly causes IBS, but they categorize it as a neurogastrointestinal (GI) disorder. Neurogastrointestinal disorders, also known as gut-brain interaction, involve problems with how the gut and brain coordinate to help the digestive system work. This communication challenge between the brain and gut can cause: 

  • Dysmotility 
  • Visceral hypersensitivity 

Other potential causes of IBS may include: 

  • Gut bacteria 
  • Severe infections 
  • Food intolerance 
  • Childhood stress 

IBS affects approximately 15% of the U.S. population, causing abdominal pain and changes to the frequency of your bowel movements. Other symptoms of IBS include: 

  • Diarrhea, constipation, or alternating between the two  
  • Feeling like you are unable to empty your bowels after pooping  
  • Cramps 
  • Excess gas and bloating 
  • Mucus in stool that makes it look whitish 

If a person has IBS, they may notice when certain things trigger symptoms. A trigger doesn’t cause IBS itself, but it can cause or worsen symptoms to flare up. Common IBS triggers include: 

  • Periods 
  • Certain foods 
  • Stress 

Researchers categorize IBS based on how a person’s stool looks on the days when they’re having flare ups. Most people with IBS may experience days when they have normal bowel movements and days when they experience abnormal ones. The bowel movements on abnormal days define the type of IBS they have. The types of IBS include: 

  • IBS with constipation (IBS-C)- most of the stool is hard and lumpy 
  • IBS with diarrhea (IBS-D)- most of the stool is loose and watery 
  • IBS with mixed bowel habits (IBS-M)- stool is both hard and lumpy and loose and watery 
  • Post-infectious IBS- generally occurs after an infection in the intestines, and stool is either similar to IBS-D or IBS-M, with a smaller number of cases presenting stool as IBS-C 

To diagnose IBS, a healthcare provider will get a full medical history by asking about your symptoms. Depending on your symptoms, they may need other tests to confirm a diagnosis. These tests include: 

  • Lab tests 
  • Imaging tests 

No specific therapy works for everyone who has IBS. However, most people with IBS can find a treatment plan that works best for them. Typical treatment options for IBS include: 

  • Modifying your diet 
  • Exercising regularly and trying relaxation techniques 
  • Therapy 
  • Medications 

No matter what form of IBS you are experiencing, working with a gastroenterologist can help you manage your symptoms effectively. You can schedule an appointment with a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

World Epilepsy Awareness Day (Purple Day)

World Epilepsy Awareness Day, or Purple Day, is observed on March 26th, a global initiative to raise awareness of epilepsy and support the millions of people living with it worldwide. 

Approximately 65 million people are living with epilepsy across the world, and one in 26 people in the U.S. will be diagnosed with epilepsy during their lifetime.  

Epilepsy is a brain condition that causes recurring seizures. Most people who suffer from epilepsy generally have the same type of seizure each time, and symptoms are usually similar from episode to episode. The symptoms of seizures can vary depending on the type of seizure, and because epilepsy is caused by certain activity in the brain, seizures can affect any brain process. Seizure symptoms may include: 

  • Short-term confusion. 
  • A staring spell. 
  • Stiff muscles. 
  • Jerking movements of the arms and legs. 
  • Loss of consciousness. 
  • Psychological symptoms such as fear, anxiety, or déjà vu. 

Sometimes people with epilepsy may have changes in their behavior and may also experience psychosis. 

Seizures can be categorized as either focal or generalized, based on where in the brain the brain activity that causes the seizure originates. 

Focal seizures are the result of brain activity in just one area of the brain. Focal seizures can fall into two categories: focal seizures with preserved consciousness or focal seizures with impaired consciousness.  

Types of focal seizures include: 

  • Temporal lobe seizures 
  • Frontal lobe seizures 
  • Occipital lobe seizures 

Focal seizures may have warning signs called auras in the moments before a seizure begins. Auras might include a feeling in the stomach, emotions such as fear, or the feeling of déjà vu. They can also be a taste, a smell, or a visual, such as a steady or flashing light, a color, or a shape. Some people may even experience dizziness and loss of balance, or hallucinations.  

Generalized seizures are seizures that involve all areas of the brain. Types of generalized seizures include: 

  • Absence seizures 
  • Tonic seizures 
  • Atonic seizures 
  • Clonic seizures 
  • Myoclonic seizures 
  • Tonic-clonic seizures 

There is no identifiable cause of epilepsy in about half of the people with the condition. In the other half, the condition may be traced to various factors, including: 

  • Family history of epilepsy 
  • Head trauma 
  • Brain tumors 
  • Infections, such as meningitis, HIV, viral encephalitis, and some parasitic infections 
  • Abnormal blood vessel formation or bleeding in the brain 
  • Alzheimer’s disease 
  • Strokes, heart attacks, and other conditions that deprive the brain of oxygen 
  • Brain inflammation or swelling  
  • Alcoholism or alcohol withdrawal 
  • Injury before birth 
  • Developmental conditions 

Seizures can be caused by environmental triggers. These seizure triggers don’t cause epilepsy, but they may trigger seizures in people who suffer from epilepsy. Most people with epilepsy don’t have reliable triggers that always cause seizures. However, there are often factors that make it easier to have a seizure, including: 

  • Flashing lights  
  • Alcohol 
  • Illicit drug use 
  • Lack of sleep 
  • Stress 
  • Dehydration 
  • Skipping doses of anti-seizure medicines or taking more than prescribed 
  • Skipped meals 
  • Illness  

Epilepsy is diagnosed when a healthcare provider reviews your symptoms and medical history. They may perform several tests to diagnose epilepsy and to detect the cause of seizures. These tests include: 

  • A neurological exam 
  • Blood tests 
  • Genetic testing 

A healthcare provider may also request brain-imaging tests and scans that detect brain changes, including: 

  • Electroencephalogram (EEG) 
  • High-density EEG 
  • CT scan 
  • MRI 
  • Functional MRI (fMRI) 
  • PET scan 
  • Single-photon emission computerized tomography (SPECT) 
  • Neuropsychological tests 

Along with the test results of these brain-imaging tests, a combination of other techniques may be used to help pinpoint where the seizures start in the brain. They include: 

  • Statistical parametric mapping (SPM) 
  • Electrical source imaging (ESI) 
  • Magnetoencephalography (MEG) 

Treatment can help people who have been diagnosed with epilepsy have fewer seizures or even completely stop having seizures. These treatments include: 

  • Medicines 
  • Therapies that include devices that stimulate the brain 
  • Surgery 
  • A ketogenic diet 

If you are experiencing any symptoms of epilepsy, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Treatments to Reduce Alzheimer’s Disease

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history.

There is currently no cure for Alzheimer’s disease. However, there is progress in Alzheimer’s and dementia research that is creating promising new treatments for those living with the disease.

The U.S. Food and Drug Administration (FDA) has approved medications for Alzheimer’s disease, which fall into two categories:

· Drugs that change disease progression in people living with early Alzheimer’s

· Drugs that temporarily ease some symptoms of Alzheimer’s

Drugs that change disease progression target the underlying biology of the disease process by aiming to slow the decline of memory and thinking, as well as function.

Anti-amyloid treatments work by removing a protein that accumulates into plaques in the brain, called beta-amyloid. Each treatment works differently and targets beta-amyloid at a different stage of plaque formation.

These treatments change the course of the disease significantly for those who are in the early stages by giving them more time to be able to participate in daily activities and live independently.

The two treatment therapies that change disease progression are Donanemab and Lecanemab.

Donanemab is an anti-amyloid antibody intravenous (IV) infusion therapy that is delivered every four weeks to treat early Alzheimer’s disease, which includes people who are living with mild cognitive impairment (MCI) or mild dementia due to Alzheimer’s who have been diagnosed with elevated beta-amyloid in the brain.

Donanemab was the third therapy that demonstrated that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

Lecanemab was the second therapy to demonstrate that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

It is important to note that anti-amyloid treatments do have side effects, such as allergic reactions, amyloid-related abnormalities (ARIA), infusion-related reactions, headaches, and falls.

As Alzheimer’s progresses, brain cells die, and the connections among those cells are lost. When this occurs, it causes cognitive and noncognitive symptoms to worsen.

Although these medications don’t stop the damage that Alzheimer’s disease causes to brain cells, they may lessen or stabilize symptoms for a limited time by affecting specific chemicals involved in delivering messages among and between the brain’s nerve cells.

The medications that are prescribed to treat symptoms related to memory and thinking include:

Cholinesterase inhibitors are prescribed to treat symptoms related to memory, thinking, language, judgment, and other thought processes. These medications prevent the breakdown of a chemical messenger important for memory and learning, called acetylcholine. Cholinesterase inhibitors support communication between nerve cells. The most prescribed cholinesterase inhibitors include:

· Benzgalantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Donepezil treats mild-to-severe dementia due to Alzheimer’s disease

· Galantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Rivastigmine treats mild-to-moderate dementia due to Alzheimer’s disease as well as mild-to-moderate dementia due to Parkinson’s disease

Possible side effects for these medications include:

· Headache

· Dizziness

· Diarrhea

· Increased frequency of bowel movements

· Nausea

· Vomiting

· Loss of appetite

Glutamate regulators are medications prescribed to improve memory, attention, reasoning, language, and the ability to perform simple tasks. This medication regulates the activity of glutamate, a different chemical messenger that helps the brain process information.

Memantine is a glutamate regulator that treats moderate-to-severe Alzheimer’s disease. It can cause side effects that include headaches, constipation, confusion, and dizziness.

A cholinesterase inhibitor combined with a glutamate regulator, such as donepezil and memantine, treats moderate-to-severe Alzheimer’s disease. Possible side effects can include nausea, vomiting, loss of appetite, confusion, dizziness, increased frequency of bowel movements, and constipation.

Alzheimer’s disease doesn’t just impact memory and thinking. It also impacts a person’s quality of life by affecting a variety of behavioral and psychological symptoms that come with dementia, such as agitation, hallucinations and delusions, and sleep disturbances. Some medications focus on treating these non-cognitive symptoms for a time; however, it is important to try non-drug strategies to manage behaviors before adding medications.

The FDA has approved only one drug to manage symptoms of insomnia that has been tested in people who are living with dementia, and one that treats agitation.

Orexin receptor antagonists are prescribed to address symptoms of insomnia and inhibit the activity of a type of neurotransmitter involved in the sleep-wake cycle called orexin.

Suvorexant treats insomnia and has been shown in clinical trials to be effective for people who are living with mild to moderate Alzheimer’s disease. Possible side effects can include a risk of impaired alertness and motor function, worsening depression or suicidal thinking, complex sleep behaviors, sleep paralysis, and compromised respiratory function.

Atypical antipsychotics are a group of antipsychotic drugs that target the serotonin and dopamine chemical pathways in the brain. These drugs are mainly used to treat schizophrenia and bipolar disorder, as well as add-on therapies for major depressive disorder. The FDA requires that all atypical antipsychotics carry a safety warning that the medication has been associated with an increased risk of death in older patients who are experiencing dementia related psychosis.

Many atypical antipsychotic medications are used “off-label” to treat dementia-related behaviors, and there is only one FDA-approved atypical antipsychotic to treat agitation associated with dementia due to Alzheimer’s disease. It is important to try non-drug strategies to help manage non-cognitive symptoms such as agitation before adding any medications.

Brexpiprazole treats agitation associated with dementia due to Alzheimer’s disease. Possible side effects may include weight gain, sleepiness, common cold symptoms, dizziness, and restlessness.

If you or a loved one is experiencing any symptoms of Alzheimer’s disease or would like to learn more about treatment options, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Muscle Spasms

Muscle spasms or muscle cramps are painful contractions and tightening of the muscles. Muscle spasms occur when the muscles involuntarily and forcibly contract and cannot relax.  

Muscle spasms are normal and very common, and can involve part of, or all of, a muscle or several muscles in a group. These spasms can occur anywhere in the body. The most common types of muscle spasms include: 

  • Back spasms 
  • Leg cramps and charley horses 
  • Neck spasms 
  • Arm spasms 
  • Abdomen spasms 
  • Ribcage spasms 
  • Chest spasms 

Muscle spasms can occur in anyone at any time, including while walking, sitting, exercising, or sleeping. Some individuals are more susceptible to muscle spasms than others and experience them regularly with any type of exertion. People most likely to get muscle spasms include: 

  • Athletes 
  • Pregnant women 
  • Infants 
  • People who are obese 
  • People over the age of 65 

Most of the time, muscle spasms aren’t something to worry about. However, muscle cramps can indicate an underlying neurological condition that affects the brain. Involuntary muscle movements resulting from a neurological condition are called dystonia.  

Muscle spasms range from mild to severe. Mild muscle spasms feel like the muscle is jumping around on its own and can be seen twitching. Severe muscle spasms feel like the entire muscle stiffens into a tight ball. If the cramping is painful, it may cause lingering discomfort in that area for a couple of days.  

If muscle spasms result from a neurological condition, they may cause symptoms such as: 

  • Paralysis 
  • Muscle pain 
  • Muscle weakness 
  • Coordination issues 
  • Numbness 
  • Difficulty sleeping 
  • Vision issues  

Experts aren’t sure why some people get muscle spasms more than others. However, possible causes can include: 

  • Dehydration 
  • Muscle fatigue 
  • Exercising in extreme heat, which causes heat cramps 
  • Not enough stretching 
  • Electrolyte imbalance 
  • Stress 
  • Too much high-intensity exercise 

A healthcare provider can diagnose muscle spasm by reviewing a person’s health history and medications, as well as asking questions that include: 

  • How bad is the pain? 
  • How long do the cramps last? 
  • When do muscle spasms usually happen? 
  • What do the muscle spasms feel like? 
  • When did the muscle spasms start? 

There is no pill or injection used to treat and relieve muscle spasms. However, some things can be done to try and stop muscle cramps, including: 

  • Massage the affected areas with your hands or a massage roller 
  • Stretch the affected area 
  • Stand up and walk around 
  • Apply heat or ice 
  • Take over-the-counter (OTC) pain relievers such as ibuprofen or acetaminophen 

Muscle spasms can happen at any time, and because they are so predictable, they can be difficult to prevent. Unfortunately, there are risk factors that can’t be avoided, such as your age. However, there are things you can do to reduce your risk, including: 

  • Stretching your muscles regularly  
  • Performing flexibility exercises 
  • Drinking a lot of water 
  • Wearing shoes that fit properly 
  • Avoiding exercising in extreme heat 
  • Working toward better overall fitness 
  • Staying at a weight that is healthy for you 
  • Avoiding medications that may cause muscle spasms as a side effect 
  • Stretching your muscles before going to sleep 
  • Using pillows to keep your toes pointed upward if you sleep on your back or letting your feet hang over the end of the bed if you sleep on your chest, to prevent leg cramps 

If you are experiencing muscle spasms, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What to Do Next After Receiving a Dementia Diagnosis

Receiving a dementia diagnosis can be devastating. Whether it is you are a loved one, several questions are raised after the diagnosis, namely “What do I do next?”  

After receiving a dementia diagnosis, it is important to be as proactive as possible. There are several steps you can take to help you or a loved one plan for the future, as well as help everyone involved feel that they are informed, supported, and less alone. Steps include: 

  1. Learn about and understand the specific dementia diagnosis, as it helps guide healthcare decisions, treatment options, and expectations for the future.

Dementia is not a specific disease, but an overall term that describes a group of symptoms such as memory loss and the loss of other mental abilities severe enough to interfere with daily life. Dementia is caused by physical changes in the brain.  

  • Different types of dementia include: 
  • Lewy Body Dementia and Parkinson’s Disease 
  • Creutzfeldt-Jakob Disease 
  • Down Syndrome and Alzheimer’s Disease 
  • Frontotemporal Dementia 
  • Huntington’s Disease 
  • Korsakoff Syndrome 

There are many signs and symptoms of dementia. They include: 

    • Memory loss that disrupts daily life 
    • Challenges in planning or solving problems 
    • Difficulty completing familiar tasks 
    • Confusion with time and place 
    • Trouble understanding visual images and spatial relationships 
    • New problems with words in speaking or writing 
    • Misplacing things and losing the ability to retrace steps 
    • Decreased or poor judgment 
    • Withdrawal from work or social activities 
    • Changes in mood and personality 
  1. Communicate with you or your loved one’s healthcare providers to discuss what can be expected and how to best manage symptoms.  
  2. Plan for the future by consulting with various financial and legal experts to discuss advance care directives, such as a living will and durable power of attorney, as they outline any wishes for future medical treatment and designate someone to make decisions on your or your loved one’s behalf if/when you are unable to. A financial adviser can help you or your loved one organize and manage any expenses that may relate to long-term care
  3. Communicate with family members and caregivers openly about your or your loved one’s diagnosis, any care preferences, and plans so that everyone is on the same page.  
  4. Maintain any and all social connections and participate in activities that encourage cognitive function. Maintaining a support network is important, as dealing with dementia can make you or a loved one feel isolated. 
  5. Ask your or your loved one’s healthcare provider about which treatments are available and recommended based on one’s specific dementia diagnosis, and ask about eligibility for clinical trials. 
  6. Start any of the recommended treatments or medications that may help manage dementia symptoms. Be sure to schedule regular appointments with your healthcare providers so they can monitor the condition and adjust care as needed. Monitor your symptoms and keep your healthcare providers up to date with them so they can offer any interventions that can help with any new symptoms that present themselves. 
  7. Remove any household hazards that may lead to falls or injuries. According to the Alzheimer’s Association, adults ages 65 and older living with dementia are at a 45.5% risk of getting injured or dying from falls, compared to 30.9% of people in the same age group who don’t have dementia. It is important to note that falls are the leading cause of death for that age group. 

A dementia diagnosis is a difficult time for any family that must experience it. It is important to make sure that you, your loved ones, and any caregivers are prepared for the challenges that may arise on this journey.  

If you or a loved one is experiencing any symptoms of dementia, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Obstructive Sleep Apnea Linked to Parkinson’s Disease?

A new study conducted by Oregon Health and Science University and the Portland Veterans Administration (VA) Health Care System has found that people who have untreated obstructive sleep apnea (OSA) can have an increased risk of eventually developing Parkinson’s disease. 

Obstructive sleep apnea is a common sleep disorder that occurs when people repeatedly stop and start breathing while they sleep due to the throat muscles relaxing and blocking their airway.  

Parkinson’s disease is a progressive neurodegenerative disorder of the nervous system that worsens over time.  

The study analyzed the health records of 13,737,081 U.S. veterans collected by the Department of Veterans Affairs from 1999 to 2022. The average age of the participants in the study was 60.5 years, with 9.8% being women. 

1,552,505 participants of the study had obstructive sleep apnea. Six years after their original OSA diagnosis, there were 1.6 cases of Parkinson’s disease for every 1,000 individuals with obstructive sleep apnea, compared to those without it. 

What’s more, the study shows that because OSA causes repeated airflow blockages during sleep, it leads to low oxygen levels and briefly interrupted blood flow to the brain and blood vessels. It can also lead to ischemia-reperfusion, which occurs when blood flow is restored after a period of reduced blood supply, leading to cells becoming damaged instead of healing. When this occurs, it causes fragmented sleep and triggers the autonomic centers in the brain, making neurons and blood vessels vulnerable. Similarly, Parkinson’s disease causes neurons to slowly break down and die, affecting neurological function. 

People who are suffering from OSA can improve their sleep quality with early treatment using common treatments for sleep apnea, such as a continuous positive airway pressure (CPAP) mask or the new Inspire device. Unlike the CPAP mask, the Inspire device works inside the body with a patient’s natural breathing process, using mild stimulation to open the airway during sleep, allowing oxygen to flow naturally. The patient uses a small handheld remote to turn Inspire on before bed and off when they wake up.  could help lower their risk of developing Parkinson’s disease. 

If you would like to get tested for sleep apnea, you can make an appointment at Jamaica Hospital Medical Center’s Sleep Center by calling 718-206-5916. 

To learn more about CPAP or Inspire at Jamaica Hospital Medical Center, please visit Jamaicahospital.org or call 718-206-7110 to make an appointment with an ENT doctor.   

If you would like to learn more about Parkinson’s disease, you can schedule an appointment with a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.