Wednesday, March 12, 2008

Multi-infarct dementia

Overview Multi-infarct dementia due to cerebral arteriosclerosis affect brain blood supply particularly recurrent cerebral vascular accident caused by dementia syndrome. External brain artery (carotid artery or the basilar artery cone) plaque of microemboli or ischemia caused a brain center casual sexual most small infarct, which led known as multi-infarct dementia. Multi-infarct dementia in the elderly more rapid onset, men slightly more than women. Course of a sustained development ladder, often accompanied by signs of nervous system limitations. Cause pathogenesis of the disease caused the root causes of cerebral arteriosclerosis caused organic brain tissue caused by changes. The extent of cerebral arteriosclerosis due to different parts of a difference. Most patients had symptoms of hypertension and hyperlipidemia history, and some can still have cerebrovascular accident attack. Early v. patients to headache, dizziness, drowsiness or insomnia, easy fatigue, mental concentration lower patients while the original personality characteristics have become more prominent, easily agitated or nervous and began to emerge in recent memory obstacles, relatively intact long-term memory, intelligent harm sometimes involves only certain, limited cognitive functions, such as, Naming such difficulties. And general reasoning, judgment can be a considerable period of time remained intact, often aware of their own these obstacles and take the initiative to seek or efforts to be made up, there was a "mesh-like dementia," said. Patients emotional instability, increased sexual stimulation, may be negligible incentive to trigger crying or laughing, the phenomenon known as emotional incontinence. Occasionally, there may be depression, anxiety, suspicion and paranoia, and so on. Advanced Automation incapacity of individuals unable to care for themselves, sometimes difficult and Alzheimers disease are different. Acute onset frequently in cerebrovascular accident after the attack, showing awareness of a vague state. accompanied by acts of disorder and paranoid hallucinations, seizures after emerging personality and mental retardation. According to hemorrhage different parts with different signs of the nervous system, such as hemiplegia, nystagmus, agnosia, apraxia, ataxia and pyramidal tract positive sign. Jumping course to intensify and complete remission is the turn of the so-called ladder of process characteristics. Can be as long as several years or even over 10 years, the cause of death to heart and kidney failure for more. EEG appearing obvious anomaly; CSF examination can be slightly higher in protein; cerebral blood flow with the check flexibility to reduce vascular resistance increased, decreased blood flow and slow; CT scanning and low-density areas and limitations enlarged ventricle; Magnetic resonance imaging can show lacunar infarct. Treatment of hypertension and arteriosclerosis, according to medical prescriptions handled. Acute ischemic the author, injected, such as Sichuan Qiong injection. Meet the target indication for surgical treatment. To improve cognitive function can be taken brain rehabilitation, the new and complex brain such as RNA. Hyperbaric oxygen treatment and the ultraviolet radiation of blood oxygenation therapy to induce some patients early access to certain effect. More obvious symptoms, can be shared as a small amount of drugs MTA to triazine treatment, the symptoms once control, can stop.

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