Suggest Treatment For Frontal Lobe Dementia

Posted on Thu, 10 Apr 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 10 Apr 2014 Answered on

Mon, 28 Apr 2014 Last reviewed on

Question : 70 year old husband started 100 mg Serequel 4 nights ago....having vivid dreams of a "third dimension"....Diagnosis: advanced frontal lobe dementia....he has been in a very confused state for 8 months...not able to sleep....His thinking is clearer...able to hold a conversation...mouth movements and hand shaking 90% improved...now walking unassisted...is now continent....overall feeling better....However, he confuses the dreams with reality....

Answered by Dr. Manisha Gopal (7 hours later)

Brief Answer: he will be fine, please start medicine Detailed Answer: Hello and welcome to.hcm! Firstly i would.like to tell you that he can get better with medicines. The patient has complaint of frontal dementia- there are many personality and psychological changes associated with it. The symptoms mentioned in.the query are related to the same. This symptom can be psychotic / delusional in nature ( but a more detailed questioning is required to diagnose it). Had i been treating him, I would have given him resperidone 0.5-1mg or quetiapine 25-100mg at night. These drugs will take care of the symptoms of dream and relality confusion. After few weeks.of treatment, one.may be able to reduce his dosage to lower level. It is advisable that patient should not move around after taking these medicines as he might fall and get injured [ the drugs produces some sedation]. The sedative part reduces with time For sleep- he might need zolpidem 10mg for few days (in case when the resperidone or quetiapine.donot give sufficent sedation).. With improvement in sleep - there is consederable improvement in overall symptoms. I hope the reply is useful for you Wish you good luck! Dr. Manisha Gopal MD Psychiatry

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar