Vascular dementia

Vascular dementia (VD) represents a heterogeneous group of disorders, approximately eight in number, the common feature being a dementia associated with a disturbance in blood supply to the brain. Diagnostic criteria for VD are not considered robust but the National Institute of Neurological Disorders and Stroke-Association Internationale pour la Recherché et l' Enseignement en Neurosciences (NINDS-AIREN) criteria15 describe VD in terms of an abrupt deterioration in cognitive function, gait disturbance or frequent falls, urinary frequency, focal neurological findings including sensory loss, lower facial weakness, depression, mood lability, and psychiatric symptoms. Treatment of VD is primary prevention with education regarding risk factors that include many of the same factors for stroke, e.g., smoking, coronary artery disease, alcohol abuse, age, etc.

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