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"CT and MRI scans, which reveal the anatomic structure of the brain, are used to rule out such problems as tumor, hemorrhage, stroke, and hydrocephalus, which can masquerade as Alzheimer's disease. These scans can also show the loss of brain mass associated with Alzheimer's disease and other dementias."
I was told by a nurse this:
Dementia- you know its a stove but forget how to work it.
ALZ - you forgot that its a stove.
Some people with Sz talk back to the voices they hear. I don't know if all people hear voices, but I believe the voices may become more active at times, especially if medication is skipped. Some go through manic stages, of which overtalking can be a symptom.
Best to have a medical review.
Doctor will look for causes for the behaviour change & may wish to check bloods, kidney function, other general health issues too.
I doubt the MRI confirms Alzheimer's but can rule out other causes. In my father's case it showed he'd had several strokes in the balance portion of his brain. Surprising really since we never saw the signs of a stroke and it did provide the reason he was falling so much.
His diagnosis of moderate Alzheimer's came from the in depth evaluation done by the PCP. How they can tell Alzheimer's from some other form of dementia - I have no idea - I should have asked when taking dad to he dr's appointments.
So my recommendation is to try and get your dad an appointment with a neurologist that deals in Alzheimer's, dementia and all its forms.
Your family is quite right to be alert to changes in your father's mental health and his behaviour, and the best thing to do if you notice changes is to report them to his PCP and/or psychiatrist.
How is your dad in himself? Are you able to ask him about how he's feeling?