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Pathophysiology of Alzheimers Disease

Risk factors: 1. Advancing age 2. Neurotransmitter deficiencies 3. Repeated head trauma 4. Apolipoprotein Epsilon 4 genotype

Causes: Unknown

Amyloid Hypothesis Abnormal amyloid protein precursor cleavage Single strands of insoluble Bamyloid is released in the extracellular space and Forms plaques

Vascular Hypothesis Advancing aging and vascular risk factor Brain hypoperfusion Neuroglial energy crisis

Glutamatergic Hypothesis

Cholinergic Hypothesis Loss of neurologic neurons Loss of Acetylcholine (Ach)

N-methyl-D-aspartate (NMDA) receptors undergo sustained low level activation of the Low level of neurotransmission Chronic calcium influx within the neuron that interferes with normal signal transduction Hyperphosporylati on of tau proteins Neurofibrillary tangles formation

Mild Cognitive Impairment

Neurodegenerati on

Clinical Manifestations of Alzheimers Disease

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