When confronted with a neurological or psychiatric disorder in
an elderly individual, a clinician or researcher is likely to ask
how the processes of ageing have influenced the aetiology and
presentation of the disorder, and will impact on its efficient
management. There are many urban myths about ageing, and some of
these apply to the brain. The reviews included in this book are an
attempt to flush out some of these myths, and arm the clinician and
general researcher with the empirical facts that can be mustered to
substantiate claims about ageing. There are many salient questions:
is cognitive change to be expected in an elderly individual? Is
this change progressive, relentless and unselective, or is it focal
and constrained? Would every person who lived long enough develop
Alzheimer s disease? Do our neurones die as we get old? What
happens to the size of the brain and its metabolic activity? How do
our hormones change with age? Can anti-oxidants slow or even stop
the process of ageing? Are genes important in the ageing brain or
is it all in the environment? How much of what we are is due to
what we eat? The contributors to this book, each an expert in their
field, have addressed some of these questions in a language simple
enough for a general reader to understand.
The book also deals with some of the most prominent brain
disorders of old age - Alzheimer's disease, Parkinson's disease,
vascular dementia, and depression. The focus is on the impact of
ageing on these disorders. The discussions lay out a broad map for
the clinician dealing with neuropsychiatric disorders, and the
future researcher of brain ageing. In a field in which the
developments are too numerous for any one individual to keep pace
with, this book presents up-to-date summaries that can be a useful
starting point. The field of brain ageing abounds in tabloid
science. This book counters this by providing a strong empirical
grounding and considered synthesis of the research."
General
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