Binswanger's Disease

Binswanger's Disease

[Binswanger's disease's_disease 

'Binswanger's disease or subcortical leukoencephalopathy is a rare form of multi-infarct dementia caused by damage to white brain matter.[1] It is characterized by loss of memory and intellectual function and by changes in mood. ]


Is there any treatment?

There is no specific course of treatment for BD. Treatment is symptomatic. People with depression or anxiety may require antidepressant medications such as the serotonin-specific reuptake inhibitors (SSRI) sertraline or citalopram. Atypical antipsychotic drugs, such as risperidone and olanzapine, can be useful in individuals with agitation and disruptive behavior. Recent drug trials with the drug memantine have shown improved cognition and stabilization of global functioning and behavior. The successful management of hypertension and diabetes can slow the progression of atherosclerosis, and subsequently slow the progress of BD. Because there is no cure, the best treatment is preventive, early in the adult years, by controlling risk factors such as hypertension, diabetes, and smoking.

What is the prognosis?

BD is a progressive disease; there is no cure. Changes may be sudden or gradual and then progress in a stepwise manner. BD can often coexist with Alzheimer's disease. Behaviors that slow the progression of high blood pressure, diabetes, and atherosclerosis -- such as eating a healthy diet and keeping healthy wake/sleep schedules, exercising, and not smoking or drinking too much alcohol -- can also slow the progression of BD.      ]

Homoeopathy and  Binswanger's disease

Binswanger's disease is a neurological syndrome, associated with hypertension. Till now Binswanger's disease has no known treatment in ALLOPATHY and drugs used to treat high blood pressure, depression, arrhythmia and low blood pressure are used to treat the condition's symptoms.

Aconite There is extreme restlessness, anxiety, tossing about and fear of death, even predicting the hour of death. There is an intolerance of music and there is a peculiar aversion to busy streets. Coffea has the symptom that the patient predicts the hour of death.

Belladonna : There is mental irritability, hasty speech and hasty action. There is a great deal of delirium. The patient desires to escape. He strikes those about him and tries to get out of bed. There is a desire to cut and tear the clothing, and is associated with a red face, throbbing carotids. Veratrum album has almost the same symptoms.There is coldness of surface of the body under Veratrum album and cold sweat on forehead. Thus it is distinguished from Belladonna. Lachesis and Dulcamara and Sulphur have hasty speech and hasty drinking.

Hyoscyamus  : The patient is full of imaginations. Thinks he is about to be poisoned and refuses to take the medicine, and imagines that he is pursued by some one who is trying to take his life.The patient talks and mutters all the time, and jumps from one subject to another.There is delirium with involuntary passages and picking at the bed clothes and objects in the air.It is also a remedy for jealousy.Nymphomania, patient makes lewd gestures, throws off bed clothes, uncovers genitals. Lachesis has jealousy and great loquacity, the patient jumping from one subject to another .

Stramonium  : There is wild delirium and a bright red face.The eyes have a suffused and wild look.The hallucinations terrify the patient ; objects jump up from every corner ; he sees all sorts of animals. At one moment he is laughing, singing and making faces and at another praying.There is constant loquacity, the talk being foolish and non sensical. There is fear of the dark.He imagines that he hears voices.During delirium there are frequent attempts to escape.Bright objects cause delirium and spasms.The Stramonium patient does not jump from one subject to another, but talks continually and foolishly, and it is distinguished also by the red face and other signs of sensorial excitement from Lachesis in loquacity .

Paris quadrifolia causes a garrulity very much like that caused by tea, a sort of vivacity with love of prattling.

Lachesis  : Loquacity, patient jumps from one subject to another ; jealousy and a low muttering delirium with tendency of the lower jaw to drop, the patient being worse on waking ; the mind is weakened ; the patient thinks only with difficulty ; ideas also crowd upon the mind rapidly ; the patient thinks that he is under the control of some superhuman power.

Anacardium has the symptom that the patient thinks he has two wills, one commanding him to do what the other forbids. It produces a weak memory ; he imagines he hears voices, and another condition is a propensity to swear ; It is a mental condition and it does not exist as a result of low morals.The patient is also suspicious.

Nitricum acidum produces a disposition to swear.

Nux vomica : The patient is irritable and ugly, easily put out ; over-taxing of the mental powers aggravate the symptoms ; disinclination to mental work ; useful in over-worked, fidgety business men of sedentary habits.

Bryonia  : It is a useful remedy for abdominal symptoms resulting from fits of anger ; the patient is irritable and easily angered ; delirium in which the patient thinks he is away from home and wants to go home ; talks about his business.

Chamomilla  : There is a peculiar excitability ; the patient is cross and excitable, and slight impressions produce mental anguish ; pains often result in fainting ; it is a remedy for the effect of anger ; children want to be carried about, and want different things, and when they get them throw them away dissatisfied ; especially sensitive to pain, snappish, uncivil.

Staphisagria has colic in children following fits of anger.It is a remedy for the affections of suppressed indignation.There is a hypochondriacal condition ; the patient is apathetic and gloomy ; he prefers solitude and is shy of the opposite sex.The Staphisagria child is impetuous and irritable, reminding one of Chamomilla.

Colocynthis is closely allied to both Chamomilla and Staphisagria in the bad effects of anger.

Valeriana, Hepar sulphur and Veratrum album, like Chamomilla, produce fainting from pains.

Aurum : There is melancholy, with disposition to weep ; feeling as if he were not fit to live, and a consequent tendency to suicide ; often there is a religious mania ; he prays all the time ; the mind is full of suicidal thoughts ; contradiction or dispute excites the patient, and there is great weakness of the memory ; patient thinks he is damned.
is king, proud, refined and naturally superior. Vain, arrogant and somewhat haughty, the sun type is nevertheless very warm-hearted and kind. Once you get past the vanity, you see that they are kind givers who love to throw parties and splash out on big shows. They are music lovers and especially like opera. They make loyal friends, and though intent on big schemes, will always help others in need. Gold people succeed very easily and are gifted as natural winners; they come top, come first, get the gold medals, strive to win or win without even trying; they can be proud, aloof, smiling, aim to succeed, become famous; kings, queens, bosses, directors, music lovers, etc. Remedies like Aurum, Platina.

Sepia  : The patient is low-spirited, cries readily ; weak memory ; there is sadness and irritability ; it will not do to find fault with her ; there is also perfect indifference, especially to household affairs and to her own family ; the patient is easily offended ; she dreads to be alone, wants company, but has an aversion to her own friends.

Sepia distinguished from Pulsatilla  : Both have weeping, anxiety, peevishness, and are ill-humored ; but Pulsatilla, only, has the mild, clinging disposition calling for consolation ; she makes her grief known and seeks sympathy.The Sepia patient is worse from gentle exercise, but is relieved by violent exercise.

Ignatia differ from both Pulsatilla and Sepia : There is a tearful mood with melancholy under Ignatia, but the patients nurse their sorrows, and keep them from others.It is especially a remedy for the effects of grief, particularly if the patient dwells upon her sorrows in secret, and especially if the cause of the grief be recent ; change-able mood ; introspective, given to sighing, full of disappointments ; weeping.The patient alternately laughs and cries, and there is great sensitiveness to external impressions ; changeableness is characteristic ; the patient sighs a great deal.

Phosphoricum acidum  is useful for chronic or long-lasting effects of grief. There is great indifference and torpidity of mind ; the patient is disinclined to answer questions ; he is in a stupor, unconscious of all that goes on around him, but when roused he is fully conscious ; it is also a remedy for home-sickness ; the patient is ill from the effects of grief.

Platina  : The patient is proud and haughty ; looks down upon others with disdain ; everybody seems beneath her ; objects seem unfamiliar to her — even familiar objects ; she does not know where she is ; there is often with this a condition of vision in which objects really look smaller ; there is a great dread of death, which the patient believes to be near at hand.The proud, haughty feeling is the main characteristic.

Lycopodium  : The patient is impatient and irritable, gets angered easily and is apt to be domineering ; at other times there is sadness and tearfulness ; the memory is weak ; they make mistakes in speech and forget words or syllables ; afraid to be left alone.

Sulphur and Lachesis have the symptom that the patient has to think how words are spelled.

Sulphur  : The patient has insane ideas ; thinks she is wealthy ; tears up her clothes and plays with old rags with pleasure, thinking that they are objects of beauty ; there is also melancholy and restlessness ; there is also a religious mania ; patient fears she will not be saved ; there is anxiety about her own soul, but perfectly indifferent about the souls of others ; children are apt to be irritable and peevish.

Hepar sulphur : The patient is low-spirited, and at times there is a tendency to suicide ; the patient feels discouraged and cross, and annoyed by the recollection of past unpleasantnesses in his life ; the memory is weakened ; he forgets words or localities ; he is over-sensitive, and speech is hasty ; he is especially sad in the evening, and does not wish to see members of his own family.

Calcarea carbonica  : There is one peculiar symptom : the patients see persons and objects on closing the eyes ; these disappear as soon as the eyes are open ; there is an apprehensive state of the mind and fear that the patient will go crazy.Belladonna and Cinchona have the first of these symptoms.

Alumina and Iodine have the symptom that the patient fears that he will go crazy.In Alumina the patient is law-spirited and inclined to weep, and there is a suicidal tendency when the patient sees blood or a knife.Then there is hypochondriasis and indifference to work ; time passes slowly.

Cannabis Indica : There are great delusions as to time and distances.Time and space seem greatly extended.Objects a few feet off appear many yards away and seconds seem like a century.

Apis : The patient feels strange, as if about to die, but there is no fear of death.There is delirium and the mind is weak, but especially is there awkwardness.Patients let fall what they are carrying and run against furniture, etc., in a clumsy, awkward way.

Arsenic  : Here we have great fear of death also.There is great restlessness and desire to change position.They do not want to be left alone for fear they will die.The patient has fear of ghosts and fanciful figures.In Rhus toxicodendron it is to relieve pain, not an anxious restlessness.

Natrum muriaticum : The patient is sad and tearful.There is a low, depressed condition of the mind.The patient is worse from consolation.There is an intense degree of hypochodriasis.Then, too, the patient is irritable ; every little trifle angers him, and unpleasant events trouble his mind and keep him awake.This melancholic condition is apt to flow excitement.Consolation under Natrum mur. aggravates, while under Pulsatilla the patient seeks consolation.

Opium, Gelsemium, Pulsatilla and Veratrum album are useful for the bad effects of fright.

Natrum muriaticum, Silicea and Phosphoricum acidum are useful for chronic effects of fright.

Palladium : The patient is easily put out of humor.Imagines herself neglected.Is proud, but the pride is easily wounded.She suffers from mental excitement, especially in company.Her symptoms are worse after an evening's excitement.

Antimonium crudum : The children are cross and peevish ; will not allow any to look at them.Adults are sulky and sad.In children this crossness is increased by washing them in water.

Gelsemium  : There is a tremor of the body and a great desire to be held still, and it is also a useful remedy for children after a fright.The patient is apathetic ; does not seem to care " whether school keeps or not."Ailments from emotional excitement, such as bad news, fright, grief, etc.

Graphites: The patient is full of grief, anxious and apprehensive, and this apprehensiveness compels her to move about from place to place.Has forebodings of accidents or mishaps which are about to take place.This makes her anxious and restless and she cannot keep still. Graphites is sad, fat, fair and constipated.

Argentum nitricum  : There is a sensation as if parts of the body were enormously large.The patient is impulsive, always busy yet accomplishes nothing.He makes mistakes in estimating distances.He is full of apprehension that he has some disease of the brain.There is a fear of being poisoned.
Silver is the sensitive metal of the emotions and the more refined senses. Maybe they are clairvoyant or just oversensitive; they like to be treated kindly and will not tolerate any roughness. They do not get on with iron types, for example, who they find far too rough and insensitive. Like copper they have a fine artistic sense and prefer family and friends most. The lunar silver type is the most caring and compassionate of all the metals; they like people and want to mother them and care for them. In this sense they are the archetypal feminine type. People with excess silver may find life rather painful and constantly on an emotional roller-coaster, as they react to negative and positive things so intensely and with powerful emotion. They need to develop some lead or iron to harden and protect them from the harsh realities of life, by reducing the intensity of their emotional response. mothers, childminders, nannies, nurses, teachers. Argentum, Pulsatilla and Ignatia are related to the Silver type of person.

Baptisia : The patient imagines that his body is scattered about in different places and that he has to move himself to get them together.There is a sensation as if the body were double or triple or scattered about in the bed ; an indicative symptom to be found typhoid fever.

Thuja has the symptoms that the patient imagines herself double or that she is glass and is in constant fear of being touched lest she be broken.

Thuja and Crocus saliva have the sensation as though something were alive in the abdomen.

Petroleum and Thuja have the symptoms besides Baptisia that the body is scattered about and the patient tries to get the pieces together.

Phosphorus  : The patient is susceptible to external impressions ; can neither bear light, sounds nor odors ; he is easily angered ; has fanciful notions ; sees faces in every part of the room, and symptoms are aggravated by mental exertion ; thoughts rush through his mind or else he has inability and remember.

Causticum  : The patient is low-spirited, nervous and anxious and fanciful ; feels as though something were going to happen if he were going to commit a crime ; it is also a remedy for the remote effects of anger ; there is sadness, especially before the menses ; she dreads the possibility of is to herself and others ; afraid to go to bed in the dark.

Coffea  : It produces an ecstatic state of mind ; unusual activity of mind and body ; full of fancies ; acuteness of all senses ; great flow of thought.

Cypripedium has the symptom that children wake at night unnaturally bright and playful, evincing no desire to go to sleep again.

Glonoin  : There is forgetfulness ; the patient loses her way in well-known streets ; confusion of place.

Iodine  : There is a great dread of people ; he shuns every one ; the patient is excitable and restless, moves about from place to place.

Kalium bromatum  : There are strange imaginations ; the patient imagines that he will be poisoned ; that he is hated by everybody.

He will often imagine that he is pursued by some demon and will try to commit suicide to avert danger ; there is also fear of being poisoned.

Kalium carbonicum  : The patient is peevish and nervous and easily startled ; imagines that someone is in the room ; this anxiety is excited by any noise, such as shutting of a door or a window, and it sends them into a violent fit of trembling ; there is great indifference ; the patient does not know what she wants, and this condition is associated with great bodily exhaustion.

Lilium tigrinum  : There is a depressed mood ; fears she will go crazy, and the patient feels relieved by diverting her mind or busying herself.

Pulsatilla and Mercurius are two important drugs in home-sickness.

Nux moschata  : There is a changeful mood ; the patient laughs and jests about serious subjects, and then she changes to sadness, weeping and low crying ; objects seem to grow smaller as looks at them ; there are errors in perception ; bewilderment ; there is a fanciful condition of the mind.

Rhus toxicodendron  : There is delirium and restlessness ; patient is indifferent ; fears that he will be poisoned and will not take the medicine on that account ; there may be a desire to jump out of bed and try to escape, but it is not common.

Stannum has a great deal of depression referable to the chest, is tearful and discouraged, and fears that he will go into decline.
Tin people are the theorizers; even when there is nothing to think about; they like to speculate, maybe gamble a little, a flutter on the horses is not beyond them; they also like travel and long journeys abroad. They might be accused of having a suspicious mind and of seeing things that aren't there. Their love of theories comes from their ability to clearly see patterns in events and data. These patterns are often not visible to others. From these patterns and trends they build up theories to explain the world around them. They are natural philosophers. They often have a well developed sense of humour. Tin types need to develop more action and less thought, to live less in themselves and more in the outer world. It is the inquisitiveness, expansiveness and growth tendency of jupiter that makes tin people so obsessed with patterns and information. They tend to be excessive and obsessive in the things they do. This also stems from their great natural enthusiasm. jobs like university and college lecturers, philosophers, bishops, clergy, professors, travel agents. Tin can be livened up a little with iron, made more artistic with silver or copper and deepened with lead. Chelidonium and other liver remedies are associated with Tin.

Anacardium orientale has the symptom that the soul feels as though it were free from the body.

Phosphorus has the symptom that patient fears that he will be run over in the street.

Kalium phosphoricum  : There is a gloomy, depressed irritable mental state ; trifles annoy ; the patient looks on the dark side of every thing ; there is a loss of memory, crossness and fretfulness in children.

Kalium phosphoricum  : Melancholia and mania ; somnambulistic states, or any state where there is mental aberration ; hallucinations and illusions, puerperal mania and delirium tremens.

Natrum carbonicum  : Depressed and irritable, especially after a meal ; this hypochondriasis decreases as the food gets out of the stomach into the bowels.

Cimicifuga : Mental depression ; delirium tremens ; visions of rats, mice, etc.A sensation as if there were a pall or gloom, or a horrible sadness settling over her — a feeling as if she were going crazy.

Cina  : The child wakes in a fright, screams, trembles and can-not be quieted ; they are proof against all caresses ; they are cross, irritable, nervous and peevish ; they want to be rocked.

Digitalis : Anxious, low-spirited, gloomy and apprehensive, and a desire to be alone.

Conium  : Mental depression, hypochondriasis and hysteria, dread society and of being alone.

Ambra  : Forgetfulness and hurry ; the patient does everything a hurry ; time passes slowly.

Colocynthis  : Disturbances caused by mental emotions, violent anger or fright, vexation or mortified feelings.

Pulsatilla  : A changeable disposition ; first mild, tearful and yield - and then irritable and peevish.





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