Multi-infarct dementia
Alternate Names : MID
Symptoms & Signs
- Confusion at night
- Decreased ability to function independently
- Decreased interest in daily living activities
- Difficulty making judgments
- Extreme emotional disturbance (agitation)
- Frustration, depression, anxiety, stress, and tension from loss of mental function
- Inability to be spontaneous
- Lack of emotion
- Memory loss
- Numbness or tingling
- Slowly worsening memory loss (dementia) and:
- Confusion, disorientation
- Decline in many brain functions that gets worse
- Difficulties with attention, concentration, judgment, and behavior
- Difficulty thinking
- False beliefs (delusions)
- Hearing sounds or seeing things that are not there (hallucinations)
- Personality changes
- Problems with language (aphasia)
- Uncoordinated or weak movements
- Swallowing difficulty
- Sudden involuntary laughing or crying
- Urinary incontinence
- Withdrawal from social interaction
- Inability to interact in social or personal situations
- Inability to keep a job
Diagnosis & Tests
Diagnosis rules out other causes of dementia, including dementia due to metabolic causes. Signs of multi-infarct dementia include: - Abnormal reflexes
- Local nervous system (neurologic) signs (on the modified Hachinski ischemia scale)
- Past stroke or high blood pressure
- Periods of quick worsening alternating with stable periods of very little change
- Quick onset
- Weakness or loss of function on one side, one area, or many areas
Tests may include:
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