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Central nervous system
Central nervous system


Multi-infarct dementia

Definition:

Multi-infarct dementia (MID) is the most common form of vascular dementia, which is a deterioration in mental function caused by strokes. "Multi-infarct" means that multiple areas in the brain have been injured due to a lack of blood.



Alternative Names:
MID

Causes, incidence, and risk factors:

MID affects approximately 4 out of 10,000 people. It is estimated that 10 - 20% of all dementias  are caused by strokes, making MID the third most common cause of dementia in the elderly, behind Alzheimer's disease and DLBD (dementia of Lewy bodies). MID affects men more often than women. The disorder usually affects people over 55, with the average onset at age 65.

The symptoms of MID vary. Memory loss is often an early symptom of the disorder, followed by trouble making judgments. This often progresses to delirium, hallucinations, and thinking problems. Personality and mood changes can also occur. Lack of emotion and motivation, withdrawal, and extreme excitedness (agitation) are common. Confusion that occurs or is worse at night is another common symptom.

Risk factors for MID  include a history of stroke, hypertension, smoking, and atherosclerosis.

Some research suggests that MID may cause Alzheimer's disease or make it get worse faster. MID may be misdiagnosed as Alzheimer's, or may be found in addition to Alzheimer's disease.




Review Date: 4/28/2006
Reviewed By: Daniel Kantor, M.D., Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network.

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