This piece needs more than a facelift. This is not a 'rare' disease and severe ischemic change can be found on MRI flair series with some frequency, although I would have to say that its actual incidence is probably unknown. It is typically associated with poorly controlled hypertension, but can also be seen in patients with histories of smoking, diabetes, poor diet, sedentary lifestyle, and other risk factors for micro-angiopathy. It is frequently missed as a clinical entity, because patients do not get decent structural imaging, particularly MRI flare series which will reveal it dramatically. It is in a genuine sense a subtype of vascular dementia, but obviously since there are frequently minimal to no infarcts (and those are often times quite small lacunar ones), you cannot call this "multi-infarct dementia". additionally, there is considerable evidence that this degree of cerebral vascular disease is a risk factor for Alzheimer's disease, although the early symptoms of Alzheimer's disease are masked effectively by the deficits associated with severe ischemic change. DFW Harvard Medical School —Preceding unsigned comment added by 220.127.116.11 (talk) 14:06, 31 July 2008 (UTC)
It redirects there because Binswanger' disease was described as a form of multi-infarct dementia in the sources I consulted. How about simply removing the redirect and moving the Binswanger's disease information here?