Cerebral ischemia is considered an important cause of dementia. It has
been studied in a group of 18 patients with cerebrovascular insuffici
ency, whether the degree of cognitive impairment correlates with the s
everity of cerebral ischemic changes. The cognitive impairment was ass
essed by using the mini mental state examination (MMSE). The cerebral
structural alterations were revealed by contrast-enhanced computed tom
ography (CT). The results show that the severity of cognitive impairme
nts correlates with the degree of dilatation of the supratentorial ven
tricular system in elderly patients with multiinfarct dementia.