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Vascular Dementia (VaD) The images show a patient with a strategic PCA infarction involving the hippocampus. This type of infarct can result in sudden dementia if located in the dominant hemisphere. It will usually not result in dementia if it occurs in the non-dominant hemisphere. In most patients with VaD there is diffuse white matter disease with large confluent lesions (Fazekas 3). In some of these patients the ventricles may be dilated due to global atrophy and some will also have medial temporal lobe atrophy. The images are of a patient who had VaD, but the medial temporal lobe was normal. Cognitive dysfunction in VaD can be the result of (2): MTA in a patient with VaD. The problem however is, that white matter hyperintensities and lacunes are also frequently observed in non-demented elderly and at some level can be regarded as normal findings in aging. To overcome this problem the NINDS-AIREN International Work Group has formulated criteria for the history and physical, radiological, (see above) and pathological examination to classify patients as having possible, probable and definite VaD. However considerable interobserver variability exists for the assessment of the radiological part of these NINDS-AIREN criteria and some level of training is mandatory (2). Aposta de futebol no pernambuco.Demore sempre o mesmo tempo antes de fazer a sua aposta ou fazer check; Aposte utilizando sempre a mesma mão para colocar as fichas no pano; Corte as fichas como faz sempre etc. Pense sempre em todas as suas opções na hora de apostar.
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They are however, at high risk for disability. Caps and bands. The findings in a normally aging brain can overlap with findings in dementia. As implicated earlier, there may be some degree of atrophy, though mainly of the white matter with increasing prominence of the perivascular (Virchow-Robin) spaces and non-specific fronto-parietal sulcal widening. There may also be some degree of medial temporal lobe atrophy. A MTA-score of 2 for individuals older than 75 years of age may be normal. A limited amount of white matter hyperintensities may also occur in the normally ageing brain (Fazekas grade 1). Lacunes are always pathological. Strategic infarctions are infarctions in areas that are crucial for normal cognitive functioning of the brain. These areas are summarized in the table. Transverse FLAIR images in two different patients.

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