Binswanger Disease

Binswanger disease (subcortical arteriosclerotic encephalopathy) is chronic small-vessel disease causing diffuse subcortical white-matter ischemia, presenting with gradual vascular dementia, gait disturbance, and urinary incontinence, usually in elderly patients with long-standing hypertension. Treatment: strict BP/lipid/diabetes control; antiplatelet; treat vascular risk factors; cognitive rehab; manage gait/incontinence; no specific cure.

Common Symptoms

Gradual dementia; gait disturbance; urinary incontinence; chronic HTN; diffuse white-matter lesions

Causes and Pathogenesis

Chronic small-vessel disease causes diffuse subcortical white-matter ischemia and rarefaction.

Treatment

Control vascular risk factors; antiplatelet; cognitive/gait rehab; manage symptoms

Preventive Measures

Control HTN/lipids/DM; no smoking; regular exercise.

Department to Visit

It is recommended to visit the Neurology/Geriatrics department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.