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NEUROLOGY 1986;36:1
© 1986 American Academy of Neurology

Decreased cerebral blood flow precedes multi-infarct dementia, but follows senile dementia of Alzheimer type

Robert L. Rogers, PhD, John S. Meyer, MD, Karl F. Mortel, PhD, Roderick K. Mahurin, MA and Brian W. Judd, MS

Cerebral Blood Flow Laboratory, Veterans Administration Medical Center, and Department of Neurology, Baylor College of Medicine, and the Division of Clinical Neuropsychology, Department of Psychology, University of Houston, Houston, TX.

A 7-year prospective study among 181 neurologically normal elderly volunteers (mean age, 70.6 years) revealed an incidence of 3.3%, or 0.47% new cases per year, for Alzheimer's disease (SDAT) and 5.5%, or 0.78% new cases per year, for multi-infarct dementia (MID). The unusually high incidence of MID is considered to reflect preselection of a large percentage of volunteers (48.6%) with risk factors for (but without symptoms of) atherothrombotic stroke. Of 88 volunteers at risk of stroke, 11.4% developed MID within 7 years. In MID patients, cerebral blood flow (CBF) values began to decline around 2 years before onset of symptoms, while in SDAT patients, CBF levels remained normal until symptoms of dementia appeared; thereafter, CBF declined rapidly.

Address correspondence and reprint requests to Dr. Meyer, Cerebral Blood Flow Laboratory, Veterans Administration Medical Center, Houston, TX 77030.

Supported by the Veterans Administration, Washington, DC, and grants from Mr. and Mrs. Harry K. Smith and Mr. Albert K. Smith, The Women's Fund, Entex, J.S. Abercrombie Foundation, and Tenneco, Inc., all of Houston, TX.

Accepted for publication April 17, 1985.




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Arch Intern Med, May 1, 1992; 152(5): 938 - 945.
[Abstract] [PDF]

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R. L. Rogers, J. S. Meyer, K. McClintic, and K. F. Mortel
Reducing Hypertriglyceridemia in Elderly Patients with Cerebrovascular Disease Stabilizes or Improves Cognition and Cerebral Perfusion
Angiology, April 1, 1989; 40(4): 260 - 269.
[Abstract] [PDF]

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 Arch NeurolHome page
J. C. M. Brust
Vascular Dementia Is Overdiagnosed
Arch Neurol, July 1, 1988; 45(7): 799 - 801.
[Abstract] [PDF]

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 JAMAHome page
G. C. Roman
Senile Dementia of the Binswanger Type: A Vascular Form of Dementia in the Elderly
JAMA, October 2, 1987; 258(13): 1782 - 1788.
[Abstract] [PDF]

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 Arch NeurolHome page
J. S. Meyer, R. L. Rogers, K. F. Mortel, and B. W. Judd
Hyperlipidemia Is a Risk Factor for Decreased Cerebral Perfusion and Stroke
Arch Neurol, April 1, 1987; 44(4): 418 - 422.
[Abstract] [PDF]

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 JAMAHome page
J. S. Meyer, B. W. Judd, T. Tawaklna, R. L. Rogers, and K. F. Mortel
Improved Cognition After Control of Risk Factors for Multi-infarct Dementia
JAMA, October 24, 1986; 256(16): 2203 - 2209.
[Abstract] [PDF]