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My Mother has dementia as well as high blood pressure. She is on medication for the blood pressure, but often has blood pressure spikes. Recently, it spiked to 214/82 and required her to go to the ER. Does a spike like this, or even less severe spikes, cause dementia symptoms to become worse temporarily or even permanently?

Definitely, yes. Anything that causes pressure on the body causes pressure on the brain and therefore on the mind, so you’re going to see exacerbated dementia symptoms. 

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