Is there a relation between later life dementia and multiple sclerosis?

Dementia and MS. Sometimes a long history of aggressive or poorly-managed MS can result in symptoms like dementia. Perhaps this could be called "MS dementia". There is no association of MS and Alzheimers disease or other illnesses that are considered causes of dementia. These are distinct illnesses.
Perspective. Multiple sclerosis does not cause alzheimer's but can cause significant cognitive problems if not controlled. About 60% of pts with ms will have problems, and at least 30% of pts with initial ms have issues on neuropsych testing. About 10-12% in the end will seem severely demented. With modern, more potent meds, far fewer are likely to get severely disabled in this fashion.

Related Questions

Is there a relation between later-life dementia and multiple sclerosis?

Potential is there. Here is the point: ms causes cognitive problems in at least 65% of pts, and this coupled with aging, could create a higher chance of dementia, or worsening alzheimer's as the years go by. So, use a medication that is as potent as you can tolerate, so the chance for deterioration is blunted. This might include tysabri, (natalizumab) gilenya, or bg-12. However, adverse risk management is critical. Read more...
Dementia and MS. Some people with MS may have a large burden of lesions, either because they did not find a helpful treatment, or because they did not use treatment. There are times when MS can cause symptoms of dementia, although it is normally referred to as MS. This is becoming less common with the greater number of treatments that are available. More than thirty years ago, this was more common. Read more...

How do brain lesions diagnose multiple sclerosis, Lewy body dementia, etc?

Diagnosis/symptoms. Brain lesions are the actual physical changes in the structure of the brain or individual cells of the brain that account for the psychiatric symptoms we may see, for example tangles and plaques in alzheimer's disease that cause clinical symptoms like memory loss or mood/personality changes. Some brain lesions are found on imaging, like a ct or MRI scan, while others requires microscopic exam. Read more...
It's what makes. Up the lesions that tell us what we are dealing with. Read more...
LBD Clinical only. Neurodegenerative, progressive d/o with  milder physical parkinsonism than parkinson's disease typically. (slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations/delusional thoughts, excessive sleepiness, depression, anxiety, apathy, & rbd=rem behavior d/o, causing acting-out of dreams in rem sleep. Read more...
Use of MRI testing. The brain lesions in MS are seen within white matter in particular patterns, and different lesion ages can confirm MS. Lewy body dementia is more difficult to diagnose looking for specific lesions and PET scan with decreased occipital lobe metabolism can confirm. Likewise, PET can show specific patterns for fronto-temporal and Alzheimer's dementias. Read more...

Is ginkgo biloba effective for treating multiple sclerosis and dementia?

No. This has been subjected to several clinical trials of good quality and there is no measurable effect. Note also that consumer reports notes that the ginko in the bottle is unregulated and may vary from what the bottle states, but more commonly is less or none. Read more...
Save your money. This question has been answered by numerous physicians on this site, and remains the same. Ginkgo Biloba does not help dementia, MS, or any neurological condition. Read more...