ABSTRACT

Multi-infarct dementia is the traditional name given to

dementia occurring secondary to multiple, generally large,

cortical infarctions; classically, in addition to the dementia,

such patients also have focal signs, such as aphasia, and their

history is characterized by a ‘step-wise’ course, with succes-

sive steps further down the cognitive ladder corresponding to

successive large-vessel territorial infarctions. As will be noted

below, however, variations on this classic picture do occur.

Thus, conceived, multi-infarct dementia is a common cause

of dementia in the elderly.