Diagnosis of memory decline begins with a consultation with a neurologist. The doctor clarifies when the complaints appeared, how quickly they progress, whether there were head injuries, infections, stressful events, sleep disorders, chronic diseases, or intake of medications that may affect the functioning of the nervous system.
During the examination, the doctor assesses memory, attention, speech, coordination, orientation in time and space, emotional state, and the ability to perform intellectual tasks. This helps to understand whether it concerns temporary exhaustion, consequences of another disease, or cognitive impairments that require a more detailed examination.
If necessary, the following may be prescribed:
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cognitive testing to assess memory, attention, and thinking;
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EEG to assess the electrical activity of the brain;
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laboratory diagnostics to identify metabolic, hormonal, or deficiency conditions;
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CT of the brain to identify consequences of injuries, acute disorders, or structural changes;
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MRI of the brain for a more detailed assessment of brain tissues, vascular changes, and possible organic causes of impairments;
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consultations with related specialists if the doctor suspects endocrine, vascular, or psycho-emotional causes.
Not all examinations are prescribed immediately. The doctor determines their sequence depending on complaints, medical history, and examination results. For example, with a gradual decline in memory, cognitive testing and laboratory diagnostics may be sufficient, and after an injury, sharp deterioration of the condition, or the appearance of neurological symptoms, it may be necessary to have an MRI or CT.
Doctors of «Oxford Medical» recommend not undergoing examinations independently, without a preliminary consultation. First, a specialist must assess the complaints and determine which exact studies will be informative in a specific case.