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Doctor insights on: Multi Infarct Dementia Symptoms

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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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Dr. Wayne Ingram
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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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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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

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Is sundowning a symptom of alzheimer's dementia?

Is sundowning a symptom of alzheimer's dementia?

Sundowning: Can be a symptom of dementia of any kind when combined with physical problems such as hearing and vision loss. ...Read more

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How is multi-infarct dementia found?

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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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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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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Parkinsons symptoms in brain--does it cause dementia or depression?

Parkinsons symptoms in brain--does it cause dementia or depression?

Both!: Up to 60% of parkinson's patient experience mild to moderate depression and 20% of patients will develop dementia. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Neurodegenerative disease (alzeihmer) or dementia or depression in my grandparent?

Without knowing : Your grandparent, i can't say. All dementias are neurodegenerative illnesses in one way or another. And, yes, depression in older patients can present with memory problems. Have your grandparent evaluated by a geriatric psychiatrist to help you figure this out. ...Read more

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Signs and symptoms or diagnosis of Lewy body dementia?

Signs and symptoms or diagnosis of Lewy body dementia?

Good Rx Available!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil. ...Read more

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What symptoms precede the onset of alzheimer's or Parkinson's diseaase?

What symptoms precede the onset of alzheimer's or Parkinson's diseaase?

Early signs of: Dementia include short term memory loss, difficulty performing familiar tasks, changes in mood, behavior, or personality, word-finding difficulties, decreased judgment, loss of initiative, problems keeping track of things, disorientation to time or place, if you’re experiencing any of these symptoms or are concerned about a friend or relative, talk with your doctor about your concerns. ...Read more

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What symptoms suggest Lewy body dementia?

What symptoms suggest Lewy body dementia?

Clinical Features: Neurodegenerative d/o featuring milder physical parkinsonism than parkinson's disease typically. (slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations, delusional thoughts), excessive sleepiness, depression/anxiety/apathy, & rbd. Rbd = rem behavior d/o, causing acting-out of dreams in rem sleep. ...Read more

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Can CT see brain atrophy from alzheimer's or dementia?

Can CT see brain atrophy from alzheimer's or dementia?

If advanced, yes: If alzheimer's or other dementia is far enough advanced, then ct can show cortical atrophy and enlarged ventricles. However, functional brain changes can be going on for a long time before anatomical changes show up. ...Read more

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What is lacunar infarct in brain artery?

What is lacunar infarct in brain artery?

Infarct of the brain: Lacunar infarct is a small stroke - death of a small number of brain cells that is caused by closing of a small artery that is supplying them with oxygen. ...Read more

Dr. Maureen Nash
126 doctors shared insights

Vascular Dementia (Definition)

A general condition characterized by problems with reasoning, planning, judgment, memory and other thought processes caused by brain damage from impaired blood ...Read more


Dr. Maureen Nash
1,489 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 ...Read more