This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Microbiology
Which of the following is not true about "dialysis dementia syndrome"? 
Select and explain. 
A. Presenting symptoms are dysahria, apraxia and slurred speech, B. Aluminum chelation with deferoxamine helps in improvement of symptoms, C. Seizures and frank psychosis are early symptoms of the disease, D. Its incidence has decreased with the use of aluminum free water for dialysis
C: Seizures and frank psychosis are early symptoms of the disease
Answer: C: Seizures and frank psychosis are early symptoms of the disease 
Explanation: This dialysis encephalopathy has been seen related to use of aluminium in dialysis. Its incidence decreased after the use of aluminium free water for dialysis. Its presenting symptoms are dysahria, apraxia and slurred speech and myoclonus, seizures and frank psychosis are seen after months of the disease progression. Aluminium chelation with deferoxamine helps in dramatic improvement of symptoms.