Non Invasive Study of Carotid Arteries by Echo-Doppler and Metabolic Abnormalities in Patients With Dementia

In order to evaluate the prevalence of common and/or internal carotid stenoses together with metabolic abnormalities in dementia nineteen patients were investigated. Dementia and differential diagnosis between Alzheimer type (DAT) and multi-infartual (MID) dementia were performed on the basis of Com...

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Bibliographic Details
Published in:Angiology 1985-03, Vol.36 (3), p.160-164
Main Authors: Postiglione, A., Grossi, D., Faccenda, F., Cicerano, U., Chiacchio, L., Rubba, P., Campanella, G.
Format: Article
Language:English
Subjects:
Aged
Alzheimer Disease - diagnosis
Alzheimer Disease - diagnostic imaging
Alzheimer Disease - physiopathology
Arteriosclerosis - physiopathology
Biological and medical sciences
Brain - diagnostic imaging
Carotid Arteries - physiopathology
Carotid Artery Diseases - physiopathology
Carotid Artery, Internal - physiopathology
Dementia - diagnosis
Dementia - diagnostic imaging
Dementia - physiopathology
Diagnosis, Differential
Echocardiography
Female
Humans
Male
Medical sciences
Neurology
Tomography, X-Ray Computed
Vascular diseases and vascular malformations of the nervous system
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Summary:In order to evaluate the prevalence of common and/or internal carotid stenoses together with metabolic abnormalities in dementia nineteen patients were investigated. Dementia and differential diagnosis between Alzheimer type (DAT) and multi-infartual (MID) dementia were performed on the basis of Computerized Tomography scan, behavioural anamnesis, neurological and neu ropsychological examinations. Eight patients were diagnosed as MID and 11 as DAT. Noninvasive study of neck arteries was performed in supine position by a Duplex Scanner, able of detecting a wide range of stenosis, even when very mild. Arterial hypertension, hyperlipidemia, diabetes and high hematocrit level were present in both groups, although to a higher extent in MID (p 0.05). Results from Duplex Scanner demonstrate 12 vascular stenoses 16-49% and one be tween 50-99% (13/76), being vascular abnormalities equally distributed among DAT and MID patients. These data suggest that patients with metabolic abnor malities and arteriosclerosis can develop dementia not necessarily of vascular type. On the other hand, MID patients do not present higher number of stenosis as compared to DAT, indicating that vascular disease of carotid arteries is not prominent in the clinical context of dementia.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331978503600304