Top
30
Doctor insights on: Multi Infarct Dementia Life Expectancy

Share
1

1
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

Dr. Bernard Seif
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


3

3
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

4

4
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

5

5
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

6

6
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

7

7
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

8

8
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

9

9
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

10

10
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

11

11
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

12

12
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

13

13
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

14

14
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

15

15
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

16

16
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

17

17
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

18

18
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

19

19
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

21

21
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

22

22
What can you tell me about vascular dementia?

Lots: 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

23

23
Vascular dementia's regressive behavior, is it reversible?

Vascular dementia's regressive behavior, is it reversible?

No: Unfortunately it cannot be cured. It can be controlled however, to some extent. Treatment is very individualized. Drugs such as nemenda and Aricept (donepezil) can sow the progress. Drugs such as Alprazolam or antipsychotics can alter the behavior. ...Read more

24

24
What is the typical age at which the first signs of vascular dementia appear?

What is the typical age at which the first signs of vascular dementia appear?

That depends on: How severe the underlying cardiovascular disease is. But the "typical" age would be 50 or over. ...Read more

25

25
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

26

26
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

27

27
Is vascular dementia and alzheimer's the same disease?

No: Vascular dementia is due to multiple infarcts of the brain from abnormalities in blood vessels. Alzheimer's is a degenerative neurologic disease with plaques and abnormal protein deposition. ...Read more

28

28
The doctor thinks it's vascular dementia. What is this?

The doctor thinks it's vascular dementia. What is this?

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

29

29
Is vascular dementia worse than alzheimer’s at the end stage?

Is vascular dementia worse than alzheimer’s at the end stage?

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

30

30
Alzheimer's or vascular dementia, how to tell the difference?

Good question: 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

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