This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Postiglione, A. Articles by Campanella, G. Search for Related Content PubMed PubMed Citation Articles by Postiglione, A. Articles by Campanella, G. Social Bookmarking                         What's this?

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

Institute of Internal Medicine and Metabolic Disease, University of Naples, Naples, Italy

D. Grossi

Department of Neurology, 2nd Medical School, University of Naples, Naples, Italy

F. Faccenda

Institute of Internal Medicine and Metabolic Disease, University of Naples, Naples, Italy

U. Cicerano

Institute of Internal Medicine and Metabolic Disease, University of Naples, Naples, Italy

L. Chiacchio

Department of Neurology, 2nd Medical School, University of Naples, Naples, Italy

P. Rubba

Institute of Internal Medicine and Metabolic Disease, University of Naples, Naples, Italy

G. Campanella

Department of Neurology, 2nd Medical School, University of Naples, Naples, Italy

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.

Angiology, Vol. 36, No. 3, 160-164 (1985)
DOI: 10.1177/000331978503600304


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?