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 Binswanger's 
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Binswanger's disease?

Introduction - What is Binswanger's disease?
Binswanger's disease is an extremely rare form of dementia characterized by cerebrovascular lesions in the deep white-matter of the brain, loss of memory and cognition, and mood changes. Patients usually show signs of abnormal blood pressure, stroke, blood abnormalities, disease of the large blood vessels in the neck, and disease of the heart valves. Other prominent features of the disease include urinary incontinence, difficulty walking, parkinsonian-like tremors, and depression. These symptoms, which tend to begin after the age of 60, are not always present in all patients and may sometimes appear only as a passing phase. Seizures may also be present

Is there any treatment?
There is no specific course of treatment for Binswanger's disease. Treatment is symptomatic, often involving the use of medications to control high blood pressure, depression, heart arrhythmias and low blood pressure.

What is the prognosis?
Binswanger's disease is a slowly progressive condition for which there is no cure. The disorder is often marked by strokes and partial recovery. Patients with this disorder usually die within 5 years after its onset.

What research is being done?
The NINDS conducts and supports a wide range of research on dementing disorders, including dementias of old age such as Binswanger's disease. The goals of this research are to improve the diagnosis of dementias and to find ways to treat and prevent them. The National Institute on Aging and the National Institute of Mental Health also support research related to the dementias.

Selected references
Babikian, V, and Ropper, A. Binswanger's disease: A review. Stroke, 18:1; 2-12 (January-February 1987).

Roman, G. Senile dementia of the Binswanger type. Journal of the American Medical Association, 258:13; 1782-1788 (October 1987).

This information is available courtesy of the National Institute of Neurological Disorders and Stroke.  It is in the public domain and can be downloaded, reproduced, or copied without permission. For more information go to 
http://www.ninds.nih.gov/health_and_medical/disorder_index.htm

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