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.