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痴呆表现为智能减低及人格改变,病因甚多。现将我科1985年～1987年9月,经头颅CT扫描证实2个以上脑梗塞灶,临床上具有痴呆表现的14例住院病例报道如下: 临床资料 根据DSM-Ⅲ诊断标准,本组多发性脑梗塞性痴呆(MID)的主要诊断依据为:(1)智能缺损,其严重程度足以影响社交,职业功能或日常生活,(2)记忆损害可伴有定向障碍;(3)不同程度人格改变,(4)具有局灶性神经系统损害体征,(5)头颅CT证实具有2个以上脑梗塞灶。14例中,男9例,女5例。发病年龄35～78岁。有高血压病10例,糖尿病2例,同时有高血压及糖尿病2例。曾发生过TIA或脑梗塞1次者6例,2次6例,3次2例。偏瘫13例,其中肌力0～15例,Ⅱ～Ⅲ°2例,Ⅳ一Ⅴ°6例。偏身感觉障碍9例。局限性癲痫发作1例。皮层性失明2例。记忆力减退12例、近远事遗忘2例,定向力和
Dementia manifested as intelligent reduction and personality changes, many causes. Now our department from 1985 to 1987 September, confirmed by skull CT scan more than 2 cerebral infarction, clinical manifestations of dementia in 14 cases were reported as follows: Clinical data According to DSM-Ⅲ diagnostic criteria, the group of multiple The main diagnostic criteria of cerebral infarction dementia (MID) are as follows: (1) Intelligent defect, whose severity is enough to affect social, occupational function or daily life, (2) Memory impairment may be accompanied by disorientation, (3) , (4) have signs of focal nervous system damage, (5) cranial CT confirmed with more than 2 cerebral infarction. In 14 cases, 9 males and 5 females. The age of onset 35 ~ 78 years old. There are 10 cases of hypertension, 2 cases of diabetes, hypertension and diabetes at the same time in 2 cases. TIA or cerebral infarction occurred once in 6 cases, 2 times in 6 cases, 3 times in 2 cases. Hemiplegia in 13 cases, of which 0 to 15 cases of muscle strength, Ⅱ ~ Ⅲ ° 2 cases, Ⅳ a Ⅴ 6 cases. Partial sensory disturbances in 9 cases. One case of localized seizures. Cortical blindness in 2 cases. Memory loss in 12 cases, recent cases of oblivion in 2 cases, the direction of force and