dementia image

A – Alzheimer’s image, B – Vascular Dementia image, C – Normal image

Vascular Dementia is a form of Dementia and is quite common – the only more common form of dementia is Alzheimer’s disease (in adults).

It can also be referred to as Multi-infarct dementia

It is a grouping of syndromes that cause or result in vascular lesions on the Brain

More often seen in men than women

Increase risk as age increases

5 year survival is less than 40% on average

Symptoms

  • Change in memory
  • Mental impairment
  • Symptoms often are following a stoke
  • Changes in motor movement
  • Loss of desire
  • Difficulty maintaining attention on an object or conversation
  • Loss of orientation
  • Loss of bladder control
  • Changes in gait (walking)
  • Change in reflexes
  • Difficulty swallowing

Classifications

1.)  Vascular dementia due to single infarct
2.)  Multi-infarct dementia
3.)  Vascular dementia due to hemorrhagic lesions
4.)  Small vessel disease
5.)  Mixed Vascular dementia and Alzheimer’s

Causes

  • Cereborovascular disease  (Stroke)
  • Focal lesions
  • Combination of the two

Risk

1.)  Ethnicity
2.)  Previous Stroke
3.)  Age

Diagnosis

  • Mental Status Exam
  • CT
  • MRI
  • Blood work
  • X-ray

Treatment

  • The goal is to decrease or prevent the addition of further lesions

1.)  Antiplatelet medication

2.)  Control Hypertension

3.) Control Cholesterol

4.)  Decrease smoking

5.) Control or manage Diabetes

  • Behavior modifications
  • Physical therapy/Occupational therapy

.  galantamine  [not yet approved – still in testing phase]

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