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multi-infarct dementia
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central nervous system, multi-infarct dementia, common form of vascular dementia, deterioration in mental function, strokes, "multi-infarct" means that multiple areas, in the brain have been injured, due to inadequate blood supply, mid affects approximately 4 out of 10,000 people, estimated that 10 to 20% of all dementias, strokes, making mid the third most common cause of dementia, in the elderly, behind alzheimer's disease, dlbd, dementia of lewy bodies, mid affects men more often than women, affects people over 55, the average onset at age 65, affects of mid vary depending on the location, severity, the infarctions, memory impairment, an early symptom, the disorder, followed by judgment impairment, often progresses, stepwise manner to delirium, hallucinations, impaired thinking, personality, mood changes accompany the deteriorating mental condition, apathy, lack of motivation, common, catastrophic reactions, withdrawal, extreme agitation, common, confusion that occurs, worse at night is another common symptom, risk factors that make the development of mid likely, history of stroke, hypertension, smoking, atherosclerosis, atherosclerosis, cause of numerous serious vascular problems, heart attacks, cerebrovascular diseases, peripheral vascular diseases, cerebrovascular disease affects the vessels, in the brain, spine, peripheral vascular disease involves, vessels, the limbs, atherosclerosis associated, conditions diabetes mellitus, obesity, high cholesterol, kidney disorders that, require dialysis, research suggests that mid, hasten the progression, of alzheimer's disease, mid misdiagnosed, alzheimer's, found, alzheimer's disease, the difference cannot always be determined, brain biopsy, is little effective treatment, either condition, distinction is mainly useful to researchers, not patients, once better therapies, become available, independent contribution of mid, alzheimer's disease to dementia might, become more important in tailoring treatments to individuals, awareness of mental deterioration, frustration, depression, anxiety, stress, tension, dementia, slowly progressive memory loss, lack of awareness of mental deterioration, difficulties, attention, concentration, judgment, behavior, confusion, disorientation, hallucinations, hearing sounds, seeing things, delusions, uncoordinated, weak movements, aphasia, impaired language ability, personality changes, progressive decreases in multiple brain functions, withdrawal from social interaction, inability to interact in social, personal situations, inability to maintain employment, decreased ability to function independently, decreased interest in daily living activities, lack of spontaneity, localized numbness, tingling, swallowing difficulty, sudden involuntary laughing, crying, emotional instability, urinary incontinence, disorder is diagnosed, history, signs, by ruling out other causes, dementia, dementia, due to metabolic causes, history, a past stroke, hypertension, history, the dementia often shows stepwise progression, periods of abrupt decline alternating, stable periods of minimal decline, characteristics that suggest multi-infarct dementia rather than alzheimer's disease, abrupt onset, physical complaints, emotional changes, localized neurologic signs, modified hachinski ischemia scale, a neurologic examination shows variable deficits depending on the extent, location of damage, multiple, localized areas, specific loss of function, weakness, loss of function, occur on one side, in one area, abnormal reflexes present, signs of cerebellar dysfunction loss of coordination, a head ct scan, likely, mri, the brain, changes that suggest multi-infarct dementia, areas of dead tissue visible, no known definitive treatment, control of symptoms, correction, the precipitating risk factors, high blood pressure, high cholesterol, treatments advised, the individual condition, initial diagnosis and treatment, pleasant, comfortable, non-threatening, physically safe environment, diagnosis, initial treatment, hospitalization required, short time, underlying causes, discontinuing, changing medications that worsen, confusion, not essential, care, improve cognitive function, medications, confusion include anticholinergics, antidepressants, anticholinergic properties, amitriptyline, imipramine, analgesics, cimetidine, central nervous system depressants, lidocaine, medications, disorders that contribute to confusion, heart failure, decreased oxygen, hypoxia, thyroid disorders, anemia, nutritional disorders, infections, psychiatric conditions depression, correction of coexisting medical, psychiatric disorders often greatly improves the mental functioning, medications required to control aggressive, agitated behaviors, behaviors, dangerous, to others, given in very low doses, adjustment, such medications, antipsychotics, the newer atypical agents, olanzapine, quetiapine, beta-blockers, serotonin-affecting drugs trazodone, lower the blood pressure, buspirone, fluoxetine, medications, treat alzheimer's disease, proven effective in mid, sensory function, evaluated, augmented, needed by hearing aids, glasses, cataract surgery, long-term treatment, provision of a safe environment, control of aggressive, agitated behavior, ability to meet physiologic needs, require monitoring, in the home, in an institutionalized setting, in-home care, boarding homes, adult day care, convalescent homes, family counseling, help in coping, the changes required, home care, visiting nurses, aides, volunteer services, homemakers, adult protective services, community resources helpful in caring, communities, access to support groups, in any care setting, familiar objects, leaving lights on at night, reduce disorientation, schedule of activities, simple, behavior modification helpful, persons in controlling unacceptable, dangerous behaviors, consists of rewarding appropriate, positive behaviors, ignoring inappropriate behaviors, the bounds of safety, reality orientation, repeated reinforcement of environmental, cues, help reduce disorientation, legal advice appropriate early, in the course, the disorder, advance directives, power of attorney, legal actions, make it easier to make ethical decisions regarding the care, disorder is characterized by a downward course, intermittent periods of rapid deterioration, death, occur from stroke, heart disease, pneumonia, infection, stroke, atherosclerotic heart disease, pneumonia, infection, reduced life span, loss of ability to function, care, self, loss of ability to interact, increased incidence of infections anywhere, abuse, over-stressed caregiver, side effects of medications, any symptoms suggestive of vascular dementia appear, a sudden change in mental status develops, an emergency symptom of stroke, thought of, a "brain attack", represent the brain equivalent of a heart attack, treated early, damage related to larger strokes involved in mid, produce symptoms, rapid progression, possibly be reduced, three hours, the onset of symptoms, control of conditions that increase the risk of atherosclerosis, help in reducing the risk of mid, treatment of related disorders, weight control, control of high blood pressure, dietary changes to reduce saturated fats, salt.
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