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55 year Old Man With Progressive Neurologic Deficits

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At least 50 percent of the decline in functional abilities associated with the elderly is caused by neurological conditions, particulary vascular dementia, such as oocurs in Binswanger disease. Binswanger disease is a rare condition, characterized by acute strokes with symptoms and signs compatible with lacunar infaction. The disease onset is commonly between 55 and 75 years. The majority of patients with Binswanger disease have chronic hypertension and other putative factors including diabetes mellitus, polycythemia, thrombocytosis, hyperlipidemia, hyperlipidemia, hyperglobulinemia and pseudoxantihoma elasticum, increased fibrinogen levels and the antiphospholipid antibody syndrome. We report the case of a 55 year old man, who suffered from involuntary movements of this right arm, slight hemiparesis on the right side, and also had dementia. He had a history of high blood pressure and laboratory tests showed that he had diabetes mellitus. The brain magnetic resonance imaging showed irregular white matter abnormalities with multiple lacunar infarcts in the basal ganglia and pons. The clinical picture is characterized by acute strokes, followed by invements and also dementia. Therefore we decided to diagnose is as Binswanger disease. After discharge from hospital, the patient has not returned it as Binswanger disease. After discharge from hospital, the patient has not returmed for follow-up.

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Series Title

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Call Number

Universal Medicina:28(2):127-132

Publisher

Grogol Jakarta : Trisakti University., 2009

Collation

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Language

English

ISBN/ISSN

1907-3062

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Edition

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Subject(s)

NEUROLOGIC MANIFACTIONS
DEMENTIA, VASCULAR

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