Neurology of Aging : adapting neurology provision for an aging population (2024)

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Review Articles| October 04 2024

Subject Area: Neurology and Neuroscience

Patrick Stancu;

Patrick Stancu *

patrick.stancu@hug.ch

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Lisa Hentsch;

Lisa Hentsch

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Margitta Seeck;

Margitta Seeck

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Christophe Graf;

Christophe Graf

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Vanessa Fleury;

Vanessa Fleury

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Frédéric Assal

Frédéric Assal

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patrick.stancu@hug.ch

Neurodegener Dis 1–11.

Article history

Received:

July 12 2024

Accepted:

August 14 2024

Published Online:

October 04 2024

PubMed:

39369698

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Citation

Patrick Stancu, Lisa Hentsch, Margitta Seeck, Dina Zekry, Christophe Graf, Vanessa Fleury, Frédéric Assal; Neurology of Aging : adapting neurology provision for an aging population. Neurodegener Dis 2024; https://doi.org/10.1159/000540972

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Neurology of Aging : adapting neurology provision for an aging population (1)

Abstract

BackgroundOver the past few decades, advances in neurology of aging have been considerable and have led to a better understanding of the science of age-related neurological disorders. Likewise, it changed the perception of classical neurology practice, research and the way of looking at age-related conditions. Neurological disorders are the most frequent cause of major disability in the elderly and account for almost half of the incapacitation occurring beyond age 65 and more than 90% of serious dependency. However, a number of neurological changes occur also in the absence of a specific disease, making the assessment and management of neurological complaints and findings a specific expertise.SummaryMaximizing success in clinical care of the elderly requires expertise in geriatric neurology, which includes an understanding of current research regarding aging and age-related neurological dysfunctions, and the ability to work with other geriatric health care providers. Although current therapies for neurodegenerative diseases mainly offer symptomatic relief without slowing progression, the landscape is evolving. Biomarkers of pathology and neuroimaging have continued to develop, with a significant impact on diagnosis and treatment. These advances have helped to improve our knowledge of disease pathophysiology but also disease stages, guiding symptomatic monitoring, and possible therapeutic options at a pre-symptomatic stage.Key MessagesNeurological disorders are a leading cause of major disability and dependency in the elderly, underscoring the need for expertise in geriatric neurology for effective clinical care of this population. Although current therapies for neurodegenerative diseases primarily provide symptomatic relief without slowing disease progression, advancements in biomarkers and neuroimaging are significantly evolving. These advancements enhance our understanding of disease pathophysiology and stages, guiding symptomatic monitoring and potential therapeutic options at a pre-symptomatic stage. As knowledge about age-associated conditions is steadily rising and geriatric medicine gains further recognition, this article argues for a new focus on the role of neurologists in geriatric medicine, emphasizing the importance of integrating current research and collaborative care approaches in the management of elderly patients.

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Review Article

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The Author(s). Published by S. Karger AG, Basel

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This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher.

Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.

Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

2024

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