Dr Jeremy Isaacs

St George's University Hospitals NHS FT

Jeremy Isaacs is a consultant neurologist at St George''s and Kingston Hospitals and is dementia clinical lead at St George''s Hospital. He studied medicine at Cambridge and UCL and has a PhD from UCL on the immunology of Creutzfeldt-Jakob disease (CJD).

Jeremy has a specialist interest in cognitive neurology and dementia. He runs a multi-disciplinary cognitive neurology service at St George''s Hospital offering diagnosis, treatment and support for all types of cognitive disorder, including young-onset and atypical dementias. He has developed a pioneering support group for people affected by young onset dementia (www.youngdementiasupport.london).

Jeremy is a member of the NICE dementia clinical guideline (update) committee. He is co-authoring the chapter on Memory Disorders and Dementia for the forthcoming Oxford Textbook of Neuropsychiatry. He has published on clinical and molecular aspects of neurological disorders, prion biology and the history of medicine. He has a research interest in clinical trials in Alzheimer''s disease and other dementias, repurposing of drugs for dementia and the neuropsychology of functional cognitive disorders.

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Diagnosis of young onset dementia

An increasing number of younger people are presenting in primary care and to memory and neurology clinics with concerns about their memory and other cognitive abilities. Only a small proportion have an underlying dementia; however, this is an important diagnosis with life changing consequences.

Research suggests that people with young onset dementia experience significant delays in receiving a diagnosis.

My talk will focus on the clinical assessment of younger people with cognitive symptoms, including features that help the clinician distinguish benign from pathological symptoms. I will discuss the major diagnoses in younger people in the cognitive clinic including neurodegenerative dementias such as Alzheimer’s disease and frontotemporal dementia and non-organic syndromes such as functional cognitive disorder.

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