Doctor insights on:
Multi Infarct Dementia Treatment
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 moreSee 1 more doctor answer
Scar treatment can be defined as any intervention performed on a scar. This can vary from simple treatments such as topical massage or tape or silicone gel sheeting/ointment proceeding up to progressively more aggressive and invasive treatments ranging from external energy application (ultrasound, laser, light, radifrequency, etc) up to injections, radiation therapy, surgery ...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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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?
89 mother with dementia; treatment? She's in Hospice care due to age and the doctor does not recommend Aricept (donepezil).
Hospice: Hospice care should make her comfortable. There is truly no Treatment that cures dementia...the medication like Aricept (donepezil) can be used to lengthen the duration of cognitive impairment. At 89 and on Hospice, the Aricept (donepezil) will most likely not have a mojor effect, hence the Dr. not likely to use it. I know it is tough to see mom this way, but the Dr. and the Hospice care, as well as your love will help. ...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 moreSee 2 more doctor answers
Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?
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 moreSee 2 more doctor answers
A pharmaceutical has been "approved by the fda. Supplements, vitamins (some exceptions) , herbals and natural products are not generally approved by teh fda as "pharmaceuticals". This does not mean they are harmless. Combinations or mixing with pharmaceuticals can be hazardous. Check with your physician or pharmacist ...Read more
Dementia is a condition causing loss of intellectual functions such as memory, judgment, and abstract thinking. Aids dementia complex is a dementia occurring in late stage acquired immune deficiency syndrome (aids). Now that there are better medications for aids, the incidence of aids dementia is down to ...Read more
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