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[Binswanger's subcortical arteriosclerotic encephalopathy: a special form of dementia associated with systemic arterial hypertension].
Arq Neuropsiquiatr. 1986 Sep; 44(3):255-62.AN

Abstract

The encephalopathy is characterized by an important arteriosclerotic involvement of the vessels of the cerebral white matter and a diffuse subcortical demyelination, sparing the cortex. The diagnosis is presently possible, ante mortem, by connecting the clinical picture with the CT scan findings, which are essential. Three cases with Binswanger encephalopathy are reported and the following picture was found: age 50 to 70 years old at the onset; dementia with scanty neurological signs; systemic arterial hypertension; subacute course of the disease; and a CT scan, highly characteristic, that shows bilateral and symmetric subcortical hypodensity. In one of the patients, that eventually died, an angiography disclosed a right internal carotid thrombosis and a diminished flow in the thalamic striate arteries in both sides. The other two patients are apparently stabilized with anti-hypertensive medication. Binswanger encephalopathy is still seldom described in spite of being a very well defined entity. This diagnosis should be considered much more frequently because it is possible to prevent the encephalopathy avoiding systemic hypertension that is probably intimately linked with the genesis of the disease.

Authors

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Pub Type(s)

Case Reports
Journal Article

Language

por

PubMed ID

3593034

Citation

Oliveira, A S., et al. "[Binswanger's Subcortical Arteriosclerotic Encephalopathy: a Special Form of Dementia Associated With Systemic Arterial Hypertension]." Arquivos De Neuro-psiquiatria, vol. 44, no. 3, 1986, pp. 255-62.
Oliveira AS, Massaro AR, De Campos CJ, et al. [Binswanger's subcortical arteriosclerotic encephalopathy: a special form of dementia associated with systemic arterial hypertension]. Arq Neuropsiquiatr. 1986;44(3):255-62.
Oliveira, A. S., Massaro, A. R., De Campos, C. J., & Zukerman, E. (1986). [Binswanger's subcortical arteriosclerotic encephalopathy: a special form of dementia associated with systemic arterial hypertension]. Arquivos De Neuro-psiquiatria, 44(3), 255-62.
Oliveira AS, et al. [Binswanger's Subcortical Arteriosclerotic Encephalopathy: a Special Form of Dementia Associated With Systemic Arterial Hypertension]. Arq Neuropsiquiatr. 1986;44(3):255-62. PubMed PMID: 3593034.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Binswanger's subcortical arteriosclerotic encephalopathy: a special form of dementia associated with systemic arterial hypertension]. AU - Oliveira,A S, AU - Massaro,A R, AU - De Campos,C J, AU - Zukerman,E, PY - 1986/9/1/pubmed PY - 1986/9/1/medline PY - 1986/9/1/entrez SP - 255 EP - 62 JF - Arquivos de neuro-psiquiatria JO - Arq Neuropsiquiatr VL - 44 IS - 3 N2 - The encephalopathy is characterized by an important arteriosclerotic involvement of the vessels of the cerebral white matter and a diffuse subcortical demyelination, sparing the cortex. The diagnosis is presently possible, ante mortem, by connecting the clinical picture with the CT scan findings, which are essential. Three cases with Binswanger encephalopathy are reported and the following picture was found: age 50 to 70 years old at the onset; dementia with scanty neurological signs; systemic arterial hypertension; subacute course of the disease; and a CT scan, highly characteristic, that shows bilateral and symmetric subcortical hypodensity. In one of the patients, that eventually died, an angiography disclosed a right internal carotid thrombosis and a diminished flow in the thalamic striate arteries in both sides. The other two patients are apparently stabilized with anti-hypertensive medication. Binswanger encephalopathy is still seldom described in spite of being a very well defined entity. This diagnosis should be considered much more frequently because it is possible to prevent the encephalopathy avoiding systemic hypertension that is probably intimately linked with the genesis of the disease. SN - 0004-282X UR - https://www.unboundmedicine.com/medline/citation/3593034/[Binswanger's_subcortical_arteriosclerotic_encephalopathy:_a_special_form_of_dementia_associated_with_systemic_arterial_hypertension]_ L2 - https://medlineplus.gov/dementia.html DB - PRIME DP - Unbound Medicine ER -