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Alzheimer, Dementia & Memory Health • ICD-10-CM G31.86

Alexander disease

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM G31.86 • 5 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Alexander disease Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Alexander disease?

For patients presenting with Alexander disease (ICD-10-CM G31.86), Alzheimer, Dementia & Memory Health protocols prioritize hearing/vision optimization [Alexander disease G31.86] paired with baseline and interval Homocysteine & Vitamin in Alexander disease (G31.86: B12) assessment.

Pathophysiology, Underlying Causes & Clinical Presentation

Biological expression of Alexander disease (G31.86, Memory & Cognition) reflects cerebral small-vessel microvascular in Alexander disease (G31.86: hypoperfusion). longitudinal control is benchmarked via Homocysteine & Vitamin in Alexander disease (G31.86: B12).

Common Symptoms & Clinical Signs

  • • Presentation of Alexander disease (G31.86): short-term recall difficulty in Alexander disease (G31.86: for recent conversations,)
  • • Secondary Alexander disease clinical sign: word-finding pauses, difficulty in Alexander disease (G31.86: managing multi-step finances,)
  • • Symptom flares in Alexander disease correlating with Homocysteine & Vitamin in Alexander disease (G31.86: B12) deviation outside Homocysteine < 9 umol/L; B12 > 500 pg/mL (G31.86)
  • • Functional memory & cognition impact requiring hearing/vision optimization [Alexander disease G31.86] evaluation (G31.86)

Alexander disease Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code G31.86 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Alzheimer, Dementia & Memory Health NLM Clinical Tables
Diagnostic / Lab Marker: Homocysteine & Vitamin in Alexander disease (G31.86: B12) Homocysteine < 9 umol/L; B12 > 500 pg/mL (G31.86) Clinical Reference Target Range
Diagnostic / Lab Marker: TSH & Fasting in Alexander disease (G31.86: ApoB / HbA1c) Optimal cardiometabolic neuroprotection (G31.86) Clinical Reference Target Range
Diagnostic / Lab Marker: MoCA Cognitive Screening in Alexander disease (G31.86: Score) >= 26 / 30 (G31.86) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Alexander disease

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Treatment selection for Alexander disease depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Alexander disease)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Measuring Apathy in Alzheimer's Disease in the Apathy in Dementia Methylphenidate

The measurements used for the assessment of apathy in patients with AD had a high degree of overlap with the DCA.

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry • 2021-01-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 32565008 ↗
Can This Approach Help? Inside the Latest Research on Japanese participant data from three gantenerumab trials in early Alzheimer's

Slowing of cognitive and functional decline, and amyloid reduction in gantenerumab group compared to placebo group were greater in Japanese-GRADUATE than in the global-GRADUATE and JP40959.

Alzheimer's & dementia : the journal of the Alzheimer's Association • 2025-04-15 • Phase III Randomized Trial
N = 132 88/100 PMID 40302041 ↗
New Insights on Differences in Cognitive Aging Assessments Associated With Retest: What a 977-Participant Study Found

A total of 977 older adults (mean [SD] baseline age, 76.3 [4.0] years; 523 [54%] female) contributed 2571 in-person cognitive assessments , including 552 adults (57%) with mild hearing loss and 739 adults (76%) recruited de novo.

JAMA network open • 2026-08-03 • Phase III Randomized Trial
N = 977 87/100 PMID 42584890 ↗
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