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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
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
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
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
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
Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?
Mild cerebr atrophy MRI psych pt age 65 small lacunar infarct right putamen, mild word finding problems, attention/executive prob
As above: I hope s/he is being seen by a neurologist , if this the case discuss u question with him. ...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
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 moreSee 2 more doctor answers
Drugs exist: Previous answer on stress reduction which is really important.However, medications exist that can help too. It does depend on which demyelinating problem (ms, cdip), and what type as some treatments are more indicated for certain kinds of ms for example.Many are powerful immune-modulating drugs, and can be by mouth, shot or IV depending. Best to see someone skilled in treatment, such as neurologist. ...Read more
MRI shows chronic infarct right cerebellar hemisphere and inferior vermis with internal hemorragic areas.TREATMENT & PROGNOS? TIME F COMPLT RECOVERY?
Depends upon cause: A cerebellar infarct in someone of your age would likely be due to an embolic cause. Considerations include vertebral dissection, valvular heart disease, or hypercoagulable state. The treatment is different in each case. As far as recovery, the human brain is quite plastic and will continue to improve as long as you stimulate it. In cerebellar disease special attention is paid to balance. ...Read more
There are 3 types: Named for the brain areas that are affected, the frontal and temporal lobes, there are several different variants of this type of dementia. Some of these types of dementia have prominent problems with words - either slowly losing the ability to speak or losing the ability to makes sense when one talks. There is an impulsive, disinhibited personality variant also. ...Read moreSee 1 more doctor answer
Is ssri antidepressant ok for multi infarct stroke patient, age 67, suffering atrial fibrillation, heart issues, diabetes, higher creatine level.
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