Dear Doctor,
I am a 64 year old retired veteran.
Earlier this week I was driving from home to the local grocery store,
waiting at the traffic intersection when I became completely disoriented
and could not remember where I was or which way I should turn
to get to the grocery store. I made a wrong turn and only remebered where
I was after a few minutes despite having driven to the store thousands of
times before.
This was the second such incident in that week and I also had 2 other
episodes 2 weeks ago where I forgot where I was completely for a few
minutes.
I have never had any other neurological problems or
headHead and face reconstruction
Head injury
Head lice
Indications of head injury
Radial head injury injuries
and certainly never any
memoryMemory loss
Mental status tests problems. My
familyBirth control and family planning
Choosing a primary care provider
Ewing’s sarcoma
Family troubles - resources are now telling me that my
reflexesBabinski's reflex
Infantile reflexes
Moro reflex
Urge incontinence
are becoming slower and I take longer to do
normalNormal saline flush things.
Could this be the beginnig of Alzheimers or something else?
Is there anything I can do to prevent its development at an early stage?
I appreciate your help - Thank you.
===========================================================================
Dear Jeff:
It may be a good idea for you to see a neurologist. Symptoms of intemittent topographical disorientation, or "getting lost", may occur with a wide range of neurological
disordersAdjustment disorder
Anorexia nervosa
Asperger syndrome
Autism
Autoimmune disorders
Bipolar disorder
Bipolar disorder
Bleeding disorders
Borderline personality disorder
Bulimia
Chronic motor tic disorder that affect the higher functions of the brain. While Alzheimer's disease is one of the more common problems causing this in the elderly, it is a diagnosis of exclusion. Specially when symptoms are intermittent, other causes such as seizure disorder, vascular insufficiency, medical illness, and specially adverse effects of medications need to be ruled out by appropriate tests. A good neurological examination, and sometimes even a formal neuropsychological assessment, can go a long way in diagnosing the problem.
Good luck, and take care!