Urinary and gait disturbances as markers for early multi-infarct dementia

Harriet Kotsoris, Laurie L. Barclay, Solomon Kheyfets, Anjali Hulyalkar, John Dougherty

Research output: Contribution to journalArticle

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Abstract

In a retrospective study of 84 outpatients with multiinfarct dementia, urinary and gait disturbances were found in 50% and 27%, respectively, and often preceded dementia and discrete stroke-like episodes by more than 5 years. Compared to patients without urinary disturbance, those with urinary dysfunction were predominantly male and more behaviorally impaired, but were similar in age, cognitive score, depression score, computerized tomography findings, and relative survival. Compared to patients without gait disturbance, those with gait abnormality had a higher Hachinski iscbemic score and depression score and were more behaviorally impaired. Urinary and gait abnormalities may be markers for cerebrovascular disease and vascular dementia even in the absence of frank stroke. Damage to bifrontal outflow tracts may be the common pathophysiological mechanism underlying the behavioral and motor symptoms characteristic of vascular dementias.

Original languageEnglish (US)
Pages (from-to)138-141
Number of pages4
JournalStroke
Volume18
Issue number1
DOIs
StatePublished - Jan 1 1987

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Multi-Infarct Dementia
Gait
Vascular Dementia
Stroke
Depression
Cerebrovascular Disorders
Behavioral Symptoms
Dementia
Outpatients
Retrospective Studies
Tomography
Survival

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Urinary and gait disturbances as markers for early multi-infarct dementia. / Kotsoris, Harriet; Barclay, Laurie L.; Kheyfets, Solomon; Hulyalkar, Anjali; Dougherty, John.

In: Stroke, Vol. 18, No. 1, 01.01.1987, p. 138-141.

Research output: Contribution to journalArticle

Kotsoris, H, Barclay, LL, Kheyfets, S, Hulyalkar, A & Dougherty, J 1987, 'Urinary and gait disturbances as markers for early multi-infarct dementia', Stroke, vol. 18, no. 1, pp. 138-141. https://doi.org/10.1161/01.STR.18.1.138
Kotsoris, Harriet ; Barclay, Laurie L. ; Kheyfets, Solomon ; Hulyalkar, Anjali ; Dougherty, John. / Urinary and gait disturbances as markers for early multi-infarct dementia. In: Stroke. 1987 ; Vol. 18, No. 1. pp. 138-141.
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