Dementia Evaluation & Memory Specialist in New Delhi
Structured memory assessment that separates normal ageing from mild cognitive impairment and dementia — and rules out reversible causes first.
Medically reviewed 2026-08-29 · Dr. Sudheer Pandey, DrNB Neurology
What we offer
- Cognitive testing with MMSE and MoCA scales
- Screening for reversible causes: B12, thyroid, depression, medication effects
- MRI brain to identify vascular, Alzheimer's and other patterns
- Distinguishing Alzheimer's, vascular, Lewy body and frontotemporal dementia
- Caregiver guidance on safety, routine and behavioural symptoms
When should memory loss be evaluated by a neurologist?
Seek evaluation when forgetfulness interferes with daily function: repeating questions within a conversation, missing medication doses, difficulty managing money or appointments, getting lost on familiar routes, word-finding trouble, or a change in personality, judgement or social behaviour. Sudden confusion over hours or days is different — that needs same-day assessment.
What happens in a dementia evaluation?
Structured cognitive testing (MMSE, MoCA) to measure memory, language, attention and executive function; blood tests screening for vitamin B12 deficiency, thyroid disease and other reversible contributors; and MRI brain to identify hippocampal atrophy, small-vessel disease, prior strokes or hydrocephalus. A history from a family member is essential — patients often under-report their own difficulties.
Which causes of memory loss are reversible?
Vitamin B12 deficiency, hypothyroidism, depression (which can closely mimic dementia), obstructive sleep apnoea, chronic alcohol use, sedative and anticholinergic medications, and normal pressure hydrocephalus. These are screened for deliberately, because treating them can partly or fully reverse the decline.
How are the types of dementia distinguished?
Alzheimer's disease typically begins with episodic memory loss. Vascular dementia often follows a stepwise course with stroke risk factors and small-vessel change on MRI. Dementia with Lewy bodies features fluctuating attention, visual hallucinations and parkinsonism. Frontotemporal dementia presents earlier with behaviour and language change rather than memory. The pattern, examination and MRI together determine the subtype.
What treatment is available?
Cholinesterase inhibitors (donepezil, rivastigmine, galantamine) and memantine are prescribed where indicated. Equally important: controlling blood pressure, diabetes and cholesterol to protect remaining brain function, reviewing and stopping medications that worsen cognition, treating depression and sleep disorders, and structured caregiver guidance on routine, safety and managing behavioural symptoms.
Frequently Asked Questions
Direct answers to common questions — when to seek care, what to expect, and what to do next.
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