Binswanger’s Disease

Binswanger’s disease is also called subcortical vascular dementia. It is a type of dementia which damages the deep layers of white matter in the brain.There are the thickening and narrowing of arteries that feed the subcortical areas of the brain. Atherosclerosis which is known as hardening of the arteries is a systemic process that affects blood vessels throughout the body.As the arteries become more narrowed, the blood supplied by those arteries decreases and brain tissue dies.

Age/Sex of Binswanger's disease

It begins late in the fourth decade of life and increases in severity with age.

Symptoms of Binswanger's disease

• Short -term memory.
• Organization
• Mood
• The regulation of attention
• The ability to act or make the decision.
• Appropriate behaviour.

Others symptoms –

• Forgetfulness
• Changes in speech
• An unsteady gait
• Clumsiness or frequent falls.
• Changes in personality or mood (in the form of apathy, irritability and depression).

Investigation for Binswanger's disease

It can be diagnosed by modern brain imaging techniques through

1) CT scan
2) Magnetic resonance imaging (MRI).

Treatment for Binswanger's disease

1)People with depression or anxiety require antidepressant medications.
2) Require antipsychotic drugs for agitation and disruptive behavior.
3) The successful management of hypertension and diabetes help in slowing down the progress of atherosclerosis.
4) There should be control in risk factors such as hypertension, diabetes and smoking.

Prognosis of Binswanger's disease

Binswanger’s disease is a progressive disease.Changes may be sudden or gradual and then progress.Slow the progression of high blood pressure, diabetes, atherosclerosis and eating a healthy diet and good sleep, no smoking or nor drinking too much alcohol can slow the progression of Binswanger’s disease.

Differential diagnosis of Binswanger's disease

• Huntington disease dementia
• Depression
• Dementia due to trauma head
• Dementia due to HIV disease
• Parkinson disease dementia

Homoeopathic treatment for Binswanger's disease

Agaricus muscarius
•Well indicated medicine for dementia cases.Agaricus acts as an intoxicant to the brain.
•There is jerking, twitching, trembling and itching in limbs of the patient.
•Also given for general paralysis.
•It acts in a condition of delirium, mania and even idiocy.
•Throughout the body, there is spasmodic twitching followed by waning, tremulousness.

Anacardium orientale
•Anacardium is well-indicated medicine for neurasthenics such as the type of nervous dyspepsia which is relieved by food, impaired memory, depression and irritability.
•Aversion to work, lack of self-confidence.
•Patient has irresistible desire to swear and curse.
•Fixed ideas.
•Anxiety when walking as if pursued.
•Absent mindedness.
•Very easily offended.

Belladonna
•Belladonna acts upon every part of the nervous system.
•Well indicated for furious excitement, perverted special senses, twitching and convulsions.
•Patient lives in the world of his own, engrossed by spectres and visions.
•Patient is acutely alive and crazed by a flood of subjective visual impressions and fantastic illusions.
•Loss of consciousness.
•Acuteness of all senses.

Hyoscyamus
•Hyoscyamus acts well in patients whose nervous system disturbs profoundly.
•There is as if some diabolical force took possession of the brain and prevented its functions.
•Also indicated for non-inflammatory cerebral activity.
•Its symptoms also point to weakness and nervous agitations.
•Very suspicious.

Phosphoricum Acidum
•Well indicated remedy for nervous exhaustion.
•Patient suffers from mental debility first later physical debility.
•Impaired memory.
•Cannot collect his thoughts or find the right word.
•Difficult comprehension
•Delirium with great stupefaction
•Settled despair.

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