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BGMC treats patients affected with different types of dementia, predominantly Alzheimer’s disease.



Currently, there may be over 135,000 people with undiagnosed dementia in Nepal
With the population aging, the incidence and prevalence of dementia, particularly Alzheimer's disease, will increase significantly in the coming years.

BGMC concentrates its efforts on early diagnosis and prevention. We are involved in research to discover more effective treatments and allow patients to preserve their cognitive capacities and their health.

BGMC is dedicated to meet the needs of patients affected by Alzheimer’s disease and support their families.

From all the team members


Affiliated to the Alzheimer’s and Related Dementia Society Nepal (ARDS N), which has been providing neurological diagnoses and treatment services for over 30 years, the Memory Clinic was founded in 2013 by Dr Nirmal Lamichhane. He has developed specific clinical approach and expertise to assess complex neurodegenerative diseases such as Alzheimer disease, Lewy Body dementia, vascular dementia and fronto temporal dementia.

Implicated and concerned to develop new methods to improve diagnosis of Alzheimer’s disease, in 2013, he created, with the collaboration of several colleagues, a new tool called ACE III Nepali Version (a cognitive scale able to detect subjects with higher risk of developing the Alzheimer’s disease as well as detecting the disease in its early stages).


The illness

Alzheimer’s disease is a neurodegenerative illness which affects the central nervous system and leads to progressive and irreversible loss of cognitive, mental and functional capacities. The person affected by Alzheimer's disease has some difficulty taking care of his/her affairs, speaking, communicating and orienting him or herself. It is the main cause of dementia in the elderly and the disease generally appears after the age of 65.

Near a century after the discovery of Alzheimer's disease, its causes remain unknown and no treatment has been found to cure it.

The symptoms

The first symptom is memory loss for recent information. The person forgets, for example, where he/she left his/her keys, where he/she parked the vehicle, asks the same questions repetitively or repeats the same stories without realizing it. Forgetfulness first appears to be caused by minor distractions, then symptoms gradually become more prominent with disease progression.

In more advanced stages of Alzheimer's disease, cognitive deficits involve language, driving, recognition, and executive functions (planning and decision-making). Screening for Alzheimer’s disease is very important in order to begin early treatment and delay disease progression.

How do we establish a diagnosis?

Diagnosis is established when we have dismissed all other causes of cognitive impairment, for example: anxiety, depression, overwork and certain medication. We have to observe the patient for a while to confirm our diagnosis. The help of the family is precious, because they will observe progression of symptoms. Before confirming the diagnosis, at least two cognitive symptoms must be apparent; memory loss, spatial disorientation, language disturbance and these symptoms should also have an impact on the patient’s functional autonomy.

During follow-up visits at our clinic, the well-being of the patient and his/her family are assessed every six (6) months to one year. Questions on the patient’s abilities and reactions are also addressed.

Science allows us to better understand various risk factors and protective factors in relation to Alzheimer’s disease onset. Early detection and confirmation of Alzheimer’s disease diagnosis should not be perceived as a reason to despair, but rather as a moment to try and slow disease progression by taking the necessary measures and institute the appropriate care.

Measures to preserve your lively spirit

Stimulate your brain

Here are some activities that can help you stay quick-witted: writing, dancing, playing cards, playing chess, sudoku. Work out your neurons! It is important to use your brain as often as possible by choosing stimulating and varied activities. Developing new interests and learning new information is very important, both in leisure activities and at work.

Several specialists confirm that maintaining a social network is also important. Communicating with others, forces you to draw from your memories, structure your thoughts, allows you to share knowledge and assimilate new information. These activities will help you preserve your brain and to remain alert.

Be physically active

The brain benefits from the effects of physical activity.

Balanced diet

Experts agree that healthy food also protects the brain. Consume fish to fill up with omega-3. Some studies have shown that omega-3 may decrease the likelihood of developing Alzheimer’s disease.

To remember

• Remain active mentally and physically

• Favour vegetable fats and omega-3

• Treat cholesterol, diabetes and high blood pressure

• Stay informed: consult with your  Alzheimer Society and your health professional

We have great hope in research to discover a cure and a preventative treatment for Alzheimer’s disease in the near future.

Did you know?

Statistics from website

• In 2010, the world population of people affected counts for more than 35.6 million, which is more than the global population of Canada.

• In 2011, 747 000 canadians were affected by cognitive disorders, as well as the alzheimer's disease and other related diseases. This figure represents 14.9 pourcent of the canadians who are of ages 65 and older.

• In 2031 this number will raise to 1.4 million, if nothing changes in Canada.

Below you will find some links dealing with Alzheimer's disease. Do not hesitate to recommend us interesting sites.


For further Readings:


Alzheimer’s disease international


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