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Doctor insights on: Multi Infarct Dementia In Children

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What is multi-infarct dementia?

What is multi-infarct dementia?

Many small strokes: Multiple small "lacunar infarcts" can add up and create a picture very similar to alzheimers, and result in significant cognitive problems. Need to treat the dementia with meds, but also prevent further strokes with meds. Complex, so need fairly thorough evaluation and treatments. ...Read more

Dr. Mark Ingerman
3 Doctors shared insights

Infarction (Definition)

When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more


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Who gets multi-infarct dementia?

Who gets multi-infarct dementia?

People who have: Circulatory problems in the brain are the people who get multi-infarct dementia. ...Read more

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How is multi-infarct dementia found?

Thorough Evaluation: Tests determine whether other medical problems could be causing dementia, such as anemia, brain tumor, chronic infection, drug and medication intoxication, severe depression, thyroid disease, vitamin deficiency. Neuropsychological testing is helpful to find out what parts of thinking have been affected, and to guide other tests. Tests also can include a head ct scan and MRI of the brain. ...Read more

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How's multi-infarct dementia diagnosed?

How's multi-infarct dementia diagnosed?

All illness are: Diagnosed on the basis of history and physical exam, including required testing. ...Read more

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How multi-infarct dementia interfere safety needs?

How multi-infarct dementia interfere safety needs?

See below: The safety needs of the patient need to be assessed based on the stages of dementia. This process is continuous. If patient is still at home, home visits should be made to ensure that there is enough food, medication is taken on time, the environment is safe. If person is at the nursing facility, usually facilities have protocols in place to ensure the safety of the patient. ...Read more

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What is the definition or description of: multi infarct dementia?

What is the definition or description of: multi infarct dementia?

Due to strokes: "dementia" is loss of cognitive faculties to less than a person's previous baseline leading to an inability to function independently. "multi-infarct" means multiple strokes, usually caused by blockage of circulation in discrete areas of the brain resulting in dead brain cells and/or their connections to other brain cells. Multi-infarct dementia may be patchy in what works and what doesn't. ...Read more

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What is treatment for multi-infarct dementia?

What is treatment for multi-infarct dementia?

Two things:: First and foremost, control the underlying contributing factors to the strokes, ie: the high blood pressure or cholesterol or smoking, etc. Secondly is to treat the dementia by increasing acetylcholine in the brain with aricept, etc and to decrease glutamate with namenda (memantine). ...Read more

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What is the treatment for multi-infarct dementia?

What is the treatment for multi-infarct dementia?

First, catch cause: After that there are multiple significant approaches, but time cannot be underestimated. ...Read more

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Cause and treatment of multi infarct dementia?

Cause and treatment of multi infarct dementia?

Stroke is: The cause of multi-infarct dementia. Management is to prevent other strokes from occurring. See doctor regularly to keep blood pressure, cholesterol and diabetes (if you have it) under good control. If abnormal heart rhythm (atrial fibrillation) is present, then would need blood thinner to prevent blood clots in heart which can lead to stroke. ...Read more

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How might multi-infarct dementia forgetfulness interfere with safety needs?

See below: Poor safety awareness is due to poor insight, judgment and planning. This person may have a lack of initiation before doing anything. Perhaps a neuropsychological evaluation or geriatric assessment would be helpful. ...Read more

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How can I tell if I have multi infarct dementia? I have symptoms of memory loss?

How can I tell if I have multi infarct dementia? I have symptoms of memory loss?

See Neurologist: Studies like MRI of the head, neuro-psychological tests. May help. The important thing is an evaluation by a neurologist or a psyvhiatrist. ...Read more

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How might forgetfulness from multi-infarct dementia interfere with elder safety needs?

How might forgetfulness from multi-infarct dementia interfere with elder safety needs?

Particularly if: Short term memory is effected, the older person may not remember they left the stove on, or may not remember they need to use a walker. ...Read more

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Would you prescribe piracetam to someone with multi-infarct dementia (88y female)?

Would you prescribe piracetam to someone with multi-infarct dementia (88y female)?

Piracetam: No. Piracetam was one of the first drugs used for dementia and comes from the class of drugs called nootropics, whose actions are still poorly defined. Most of the trials of piracetam were undertaken many years ago and did not use methods which would be currently considered standard. Some of the studies suggested there may be some benefit from piracetam but overall the evidence is not consistent. ...Read more

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I have been told I have mild ectasia of the basilar artery. I suffer with migraine and my father has multi infarct dementia. Should I be concerned?

I have been told I have mild ectasia of the basilar artery. I suffer with migraine and my father has multi infarct dementia. Should I be concerned?

Ectasia: Watch for risk factors e.g. High blood pressure, high cholesterol, diabtes, over wt,
exercise regularly
no smoking
stay physically and mentally active
mediteranian diet, curry powder is supposed to help prevent dementia. ...Read more

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Multi infarct stroke dementia patient, will stopping ssri antidepressant have a negative impact after some time and patient has shown improvement? Is it addictive or have a downer. Any ALT antidep's?

Multi infarct stroke dementia patient, will stopping ssri antidepressant have a negative impact after some time and patient has shown improvement? Is it addictive or have a downer. Any ALT antidep's?

Vascular dementia: These days multi infarct dementia is referred to as vascular dementia. After a stroke there is evidence that ssri antidepressants help prevent post stroke depression. There is a little but not a lot of evidence that ssris help those with vascular dementia. Ssris are not addictive. For specific advice about using any antidepressant it would be best to see a mental health expert. ...Read more

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What specifc therapy can be given to multi infarct stroke dementia patient, 67, to improve cognitive functions and part memory loss. Also need tips for the caregiver to understand the patients needs?

What specifc therapy can be given to multi infarct stroke dementia patient, 67, to improve cognitive functions and part memory loss. Also need tips for the caregiver to understand the patients needs?

Support groups: A support group for caregivers of dementia patients or alzheimer's patients can be very helpful. There you can find out from others what their troubles have been and what they have tried. The alzheimer's association or the alzheimer's foundation of america have good online websites with information that often applies to all types of dementia including multiinfarct or vascular dementia. ...Read more

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What tests can we do to check effect of dabigatran on patient with heart problems, multi infarct stroke dementia? Recently moved to d'tran from warfarin after stroke. Any interaction with antideprests

What tests can we do to check effect of dabigatran on patient with heart problems, multi infarct stroke dementia? Recently moved to d'tran from warfarin after stroke. Any interaction with antideprests

Yes but not readily: There is a test that measures dagtriban but not readily available. You can see if someone is toxic by looking at inr and if >1 than dose maybe high. ...Read more

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Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?

Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?

No: At the present time, there is no new or novel treatment in patients who already had a stroke. There is only prevention of future strokes. ...Read more

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Can vascular dementia be reversible?

Can vascular dementia be reversible?

Possibly: Depending on the level, location, severity of the vascular lesions or cerebral insults, there is a possibility that some sxs will be reversed somewhat or improved; the brain can compensate at times for vascular insults; however, the key element is treating the underlying diseases such as hypertension and weight and removing high risk behaviors such as smoking. ...Read more

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Has anyone else ever had vascular dementia?

Has anyone else ever had vascular dementia?

Common: At least in western society, vascular dementia is the second most common type of dementia. It is estimated that about 1.5% of the population at any one time has vascular dementia. ...Read more

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How do I know if it is vascular dementia or something else?

How do I know if it is vascular dementia or something else?

Can be hard to know: If dementia occurs in the context of cerebrovascular disease (strokes, tias), especially if the deficits correlate with known anatomical lesions, it is presumed vascular. Neuropsych testing may add evidence (or not). Vascular dementia also tends to progress in discrete steps, rather than continuously. There are many causes of dementia; some can be hard to diagnose in the living patient. ...Read more

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For what reasons might vascular dementia continue to get worse?

Vascular dementia: There are two common reasons - the first is related to not stopping or being able to reverse the vascular damage that has occurred. Often people have uncontrolled hypertension or inflammatory changes that go unchecked. The second reason is that aging does alter other functions in the brain, including health of blood vessels and neurons and supporting cells. Adds to deficits. ...Read more

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How is vascular dementia different than other types of dementia?

How is vascular dementia different than other types of dementia?

Vascular dementia: Vascular dementia may overlap with other types of dementia such as alzheimer's, but results from damage to, or blockages in, blood vessels that nourish the brain. This leads to tiny "infarcts" or deaths of nerve cells in the brain. People with hypertension and/or arteriosclerotic narrowing of these blood vessels are vulnerable to such changes, which happen in a stair-step process over time. ...Read more

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How beneficial is oxygen for vascular dementia?

How beneficial is oxygen for vascular dementia?

Not helpful: Vascular dementia is caused by multiple strokes, usually each fairly small, and best to protect with an anti platelet drug, such as clopidigrel, or aggrenox. But, many older pts also, have mixed dementia, alzheimer's plus vascular problems. Symptomatic relief may require galanttamine or donepezil. ...Read more

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Are there any drugs specifically for vascular dementia patients?

Not specifically.: The best medicine would be to treat the vascular problem as aggressively as possible. So high blood pressure should be well controlled, etc. ...Read more

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Does a normal mri rule out vascular dementia?

Yes/no: You can see extensive atherosclerotic disease on MRI very easy for a patient with vascular dementia If that is not present, then less likely. But, there are more causes for dementia than people realize. ...Read more

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Which is deadlier, vascular dementia or alzheimers?

Depends: A large stroke can lead to vascular dementia and if you had one stroke you are at high risk of having another. Alzheimer's has a more predictable progression in general but everyone is unique so generalizations are difficult. ...Read more

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Vascular dementia- does it get worse with time. Any treatment?

Vascular dementia- does it get worse with time. Any treatment?

Usuaally: Vascular dementia worsens with each stroke that someone has. Currently the treatments are the same as those for alzheimers. Certain symptoms like depression, delusions and delirium are quite common. ...Read more

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How do you distinguish between vascular dementia and alzheimers?

Not easy: Clinically, alzheimer's tends to be a smooth decline over time, while vascular dementia declines in steps, as small regions of the brain lose function. Neuropsychological testing may lend evidence for, but not prove, one cause or the other. A definitive diagnosis can only be made by brain biopsy (which is rarely done), or at autopsy. ...Read more

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Is ramelteon recommended for elderly people with vascular dementia?

Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read more

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Can you remember things that happen in mimi stroke. I also have vascular dementia?

Probably yes: Although you do seem to possess dementia caused by small strokes, you likely may be aware of many of your vascular attacks. But there are silent areas of brain, and some strokes are unnoticeable, even in otherwise normal patients. ...Read more

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My grandmother has vascular dementia does anybody know what behavioral difference is between this and alzheimers?

Can be quite similar: Vascular dementia causes deficits in the areas of the brain affected by stroke. Alzheimers disease causes problems with memory, language, making decisions, planning multistep tasks. And gradual decline in functioning. Behavioral symptoms - hallucinations, delusions, depression, anxiety, agitation, aggression, irritability, disinhibition, apathy, can occur with both illnesses. Some folks have both. ...Read more

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I don't understand how to distinguish between Alzheimer's and vascular dementia?

The course of these: Dementias is quite different as are the causes and treatments. Vascular dementia exhibits a stepwise course while alzheimer's is characterized by a slow and steady progression of memory loss. ...Read more

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I was wondering what are the differences between Alzheimer's and vascular dementia?

I was wondering what are the differences between Alzheimer's and vascular dementia?

Briefly,: Ad progresses slowly, but it does progress. Vd occurs suddenly and stabilizes. With additional incidents, it again abruptly worsens, then stabilizes. Depending on the site of the damage, motor function will or will not be involved. Ad may take a long time to effect motor ability. It's a bit like "disease vs injury". Below is a link since 400 chars is too little. Hope it helps. ...Read more

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Is vascular dementia hereditary?

Vascular Dementia: Major risk factors are advancing age, with cardiovascular problems, cholesterol, sugar problems, smoking & alcohol. ...Read more

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Is vascular dementia reversible?

Is vascular dementia reversible?

Not much: It is possible to develop or create new circulation, such as unblocking carotid artery, and brains have ways of developing new pathways to compensate, but for the most part we only slow down dementia, not reverse it. Hopefully one day there will be better treatments. ...Read more

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What are symptoms of vascular dementia?

Step down process: Vascular dementia is caused by poor circulation to parts of the brain caused by ongoing "mini-strokes" that occur. Alzheimer's dementia is a chronic gradual decline, whereas vascular dementia can have sudden decreases in physical and cognitive functioning. Like walking down the stairs. They may be stable, sharp decline, stable, sharp decline etc. ...Read more

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Can you tell me about vascular dementia?

Variable picture: Vascular dementia is the result of pathological changes in the blood vessels of the brain that leads to decrease or total interruption blood supply to parts of the brain. The sufferer may never have a stroke or tia. The deficits are usually due to changes in small vessels. The symptoms and progression are variable. Prevention depends on managing vascular risk factors. Hope this helps. ...Read more

Dr. Maureen Nash
1,475 Doctors shared insights

Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease (AD), which initially involves the parts of the brain that control ...Read more


Dr. Kecia Smette
793 Doctors shared insights

Multi Infarct Dementia (Definition)

Mixed dementia is a condition in which abnormalities characteristic of more than one type ...Read more