Vascular Dementia Questions & Answers

Updated: Mar 26, 2018
  • Author: Kannayiram Alagiakrishnan, MD, MBBS, MPH, MHA; Chief Editor: Glen L Xiong, MD  more...
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Questions & Answers

Overview

What is vascular dementia?

How is the onset of vascular dementia characterized?

How does the DSM-5 classify vascular dementia?

What is the pathophysiology of vascular dementia?

What are the features of mild vascular cognitive impairment in vascular dementia?

What is the pathophysiology of multi-infarct vascular dementia?

What is the pathophysiology of single-infarct vascular dementia?

What is the role of small vessel disease in vascular dementia?

Which syndromes are less commonly associated with vascular dementia?

What is the role of leukoaraiosis in vascular dementia?

What is the role of arterial stiffness in vascular dementia?

What is mixed dementia?

What is the relationship between Alzheimer disease and vascular dementia?

What is vascular cognitive disorder (VCD)?

What is the global prevalence of vascular dementia?

How common is vascular dementia in stroke victims?

Is vascular dementia more common in men or women?

What is the mortality and morbidity of vascular dementia?

Presentation

What is the clinical history in patients with vascular dementia?

What are the presenting features of Binswanger disease in patients with vascular dementia?

What are the presenting features of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy in vascular dementia?

Which assessments are indicated in the evaluation of vascular dementia?

Which psychological disorders are associated with vascular dementia?

How is the Folstein Mini-Mental State Exam performed in the evaluation of vascular dementia?

What are the diagnostic criteria for vascular dementia?

What are the DSM-5 diagnostic criteria for vascular dementia?

What are the NINDS-AIREN diagnostic criteria for vascular dementia?

What are the neuropsychological findings in patients with vascular dementia?

What are the risk factors for vascular dementia?

DDX

What are the diagnostic considerations for vascular dementia?

Which conditions should be considered in the diagnosis of vascular dementia?

What are the differential diagnoses for Vascular Dementia?

Workup

Which lab studies are used in the workup of vascular dementia?

Which imaging studies are indicated in the workup of vascular dementia?

Which heart and circulation tests are used in the evaluation of vascular dementia?

Treatment

What is the mainstay of medical management of vascular dementia?

What is the role of drug treatment in the management of vascular dementia?

What is the role of social and community services in the management of vascular dementia?

How are behavioral and psychological needs addressed in the management of vascular dementia?

What are the dietary recommendations for patients with vascular dementia?

How can vascular dementia be prevented?

Medications

Which medications are indicated in the management of vascular dementia?

Which medications in the drug class Hemorheologic agents are used in the treatment of Vascular Dementia?

Which medications in the drug class Antiplatelet agents are used in the treatment of Vascular Dementia?

Follow-up

What follow-up care is indicated in the management of vascular dementia?

How is severe depression addressed in the management of vascular dementia?

What long-term care is indicated in the management of patients with vascular dementia?

How are risk factors for vascular dementia managed?

What are the complications of vascular dementia?

What is the prognosis of vascular dementia?

What education is indicated for patients with vascular dementia?

What education is indicated for caregivers of patients with vascular dementia?

What is the role of day programs for patients with vascular dementia?

What resources are available for patient education on vascular dementia?