Doctor insights on:
Multi Infarct Dementia Life Expectancy
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
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
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
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
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
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
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
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
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
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?
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
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
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
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
Will ssri antidepressants work to improve cognitive functions and memory loss of a recent multi infarct stroke dementia patient, age 67. How long should he take them until we see an improvement?
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
Here's a source you can dig into: https://en.wikipedia.org/wiki/Vascular_dementia
Function loss often appears suddenly following a stroke or TIA. It can then stay stable or even improve a bit until another TIA brings more losses. The location in the brain is reflected in the loss seen. Read here and ask your Dr for more info. Best! ...Read more
That depends on: How severe the underlying cardiovascular disease is. But the "typical" age would be 50 or over. ...Read more
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
Not Alzheimer's: Vascular dementia is also called multi-infarct dementia. It can be the result of many mini strokes in different parts of the brain. Also other restriction of blood flow to the brain can be the cause. Memory and other cognitive abilities are affected, depending on where the damage occurs. ...Read more
Depends: Vascular dementia can totally wipe out all conscious activity and render someone into a permanent vegetative state--not unlike what one might see with a case of severely advanced alzheimer's. However, while vascular dementia can be significantly less severe, alzheimer's, when left to follow its own natural progression, generally proceeds to a severely advanced and debilitated state. ...Read more
The answer is too complex for a quickie but ad is a slower but definite progression until death. Vd is often sudden (stroke) but if no further strokes occur, may not progress or plateaus between. Many more differences covered well here: http://www.Alzheimers.Org.Uk/site/scripts/documents_info.Php?Documentid=133
best! ...Read more