Multiple Lacunar State - Case 1 - Binswangers Disease

A 72 year-old woman with hypertension, diabetes, and an impaired memory, abruptly developed left sided weakness.

Show the White Matter Lesions

MRI axial Flair images - Note the numerous infarcts in the deep white matter bilaterally. This multi-lacunar state (a.k.a., Binswanger's disease) results in a subcortical dementia. Patients develop loss of memory and cognition, often along with focal sensory and motor changes. Patients are usually hypertensive and/or have diabetes. Other prominent features of the disease include urinary incontinence, difficulty walking, clumsiness, slowness of conduct, lack of facial expression, and speech difficulty.

05/20/06Revised 10/28/05.
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