The research included three families with
AD inheritance. All patients underwent: cognitive function assessment (MMSE),
determination of dementia severity (CDR) and AD stages (TDR), computed tomography
(CT), magnetic resonance imaging (MRI), scintigraphy of the brain (SG),
rheoencephalography (REG), and cerebral multigated angiography (MUGA). All
patients with different AD stages, as well as their descendants, have specific
atrophic changes in the temporal lobes of the brain. The degree of these
changes increases as AD becomes more severe and ranges from 4% - 8% (TDR-0) to
33% - 62% (TDR-3) of the total mass of a healthy person’s temporal lobes.
Simultaneously, the patients examined have changes of microcirculation
manifested by reduction of the capillary bed in the temporal and
frontalparietal regions, the development of multiple arteriovenous shunts in
the same areas, early venous dumping, anomalous expansion of venous trunks that
receive blood from the arterialvenous shunts, venous stasis on the
frontoparietal boundary. Similar changes are found among AD patients’
descendants aged 8 - 11, the only difference being in the degree of temporal
lobes atrophy which is 4.7%. This proves that microcirculatory disorders are
primary and atrophic changes of the temporal lobes are secondary in AD
development. The data obtained indicate that the examination of AD patients’
relatives should begin well before the possible manifestations of the disease,
even in childhood. It will allow to reveal the possibility of inheritance and
the signs of the disease at the earliest possible stage and to begin its
treatment in time.
I hope this research can be helpful to the prevention and treatment of Alzheimer’s
disease.
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