I think Chantal has early onset Dementia. A recent preclinical study in mice indicated that
liver inflammation caused by
NAFLD may lead to an activation of microglial cells in the brain and may induce neuronal apoptosis, which results in signs of Alzheimer's
disease .
Also the non-compliance with her CPAP machine.
Lack of oxygen during
sleep interferes with memory formation, blood pressure regulation, and weight control.
Untreated apnea is associated with increased risk for
dementia, stroke or heart attack.
The lack of restraint with the picking, belching, sniffing, farting ,touching her fat deposits cross a line of behavior of socialization often displayed in Dementia patients. She exhibits all of the signs and symptoms of Frontotemporal Dementia. She is in serious trouble.
Frontotemporal Dementia
Neuropsychiatric Symptoms in FTD
Neuropsychiatric symptoms are common in dementias overall, but they are a true hallmark of bvFTD since they are inaugural and predominant throughout most of the disease, until the final loss of independence in activities of daily living. Since they usually precede the cognitive symptoms, failure to recognize the early stage of illness is the most troublesome aspect reported by carers [
8]. Psychiatrists are often consulted first, and a third to a half of the patients receive a psychiatric diagnosis (e.g., depression, bipolar disorder, schizophreniform psychosis, depression with obsessive-compulsive feature, or alcohol dependence with hypomanic features), although “atypical” features are usually documented [
9–
11]. There is indeed a syndromic overlap between FTD and psychiatric disorders that may appear in late adulthood [
12]. When dementia has become conspicuous and a neurodegenerative process is no longer in doubt, personality and behavioral changes can differentiate FTD from AD, even when described by a relative, years after the patient’s death [
13]. A
Behavioral/cognitive symptoms of bvFTD [
16]
Early behavioral disinhibition | One of these symptoms must be present: |
Socially inappropriate behavior | |
Loss of manners or decorum | |
Impulsive rash or careless actions | |
Early apathy or inertia | One of these symptoms must be present: |
Apathy | |
Dementia | |
Early loss of sympathy or empathy | One of these symptoms must be present: |
Diminished response to other people’s need and feelings | |
Diminished social interest, interrelatedness, or personal warmth | |
Early perseverative, stereotyped, or compulsive/ritualistic behavior | One of these symptoms must be present: |
Simple repetitive movements | |
Complex compulsive or ritualistic behaviors | |
Stereotypy of speech | |
Hyperorality and dietary changes | One of these symptoms must be present: |
Altered food preferences | |
Binge eating, increased consumption of alcohol or cigarettes | |
Oral exploration or consumption of inedible objects | |
Neuropsychological profile: executive/generation deficits with relative sparing of memory and visuospatial functions | All of these symptoms must be present: |
Deficit in executive tasks | |
Relative sparing of episodic memory | |
Relative sparing of visuospatial skills | |
