PT  - JOURNAL ARTICLE
AU  - Rogers, Robert L.
AU  - Meyer, John S.
AU  - Mortel, Karl F.
AU  - Mahurin, Roderick K.
AU  - Judd, Brian W.
TI  - Decreased cerebral blood flow precedes multi‐infarct dementia, but follows senile dementia of Alzheimer type
AID  - 10.1212/WNL.36.1.1
DP  - 1986 Jan 01
TA  - Neurology
PG  - 1--1
VI  - 36
IP  - 1
4099  - http://n.neurology.org/content/36/1/1.short
4100  - http://n.neurology.org/content/36/1/1.full
SO  - Neurology1986 Jan 01; 36
AB  - A 7-year prospective study among 181 neurologically normal elderly volunteers (mean age, 70.6 years) revealed an incidence of 3.3%, or 0.47% new cases per year, for Alzheimer's disease (SDAT) and 5.5%, or 0.78% new cases per year, for multi-infarct dementia (MID). The unusually high incidence of MID is considered to reflect preselection of a large percentage of volunteers (48.6%) with risk factors for (but without symptoms of) atherothrombotic stroke. Of 88 volunteers at risk of stroke, 11.4% developed MID within 7 years. In MID patients, cerebral blood flow (CBF) values began to decline around 2 years before onset of symptoms, while in SDAT patients, CBF levels remained normal until symptoms of dementia appeared; thereafter, CBF declined rapidly.