Learn About Vascular Dementia

What is the definition of Vascular Dementia?

Dementia is a gradual and permanent loss of brain function. This occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior.

Vascular dementia is caused by a series of small strokes over a long period.

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What are the alternative names for Vascular Dementia?

MID; Dementia - multi-infarct; Dementia - post-stroke; Multi-infarct dementia; Cortical vascular dementia; VaD; Chronic brain syndrome - vascular; Mild cognitive impairment - vascular; MCI - vascular; Binswanger disease

What are the causes of Vascular Dementia?

Vascular dementia is the second most common cause of dementia after Alzheimer disease in people over age 65.

Vascular dementia is caused by a series of small strokes.

  • A stroke is a disturbance in or blockage of the blood supply to any part of the brain. A stroke is also called an infarct. Multi-infarct means that more than one area in the brain has been injured due to a lack of blood.
  • If blood flow is stopped for longer than a few seconds, the brain cannot get oxygen. Brain cells can die, causing permanent damage.
  • When strokes affect a small area, there may be no symptoms. These are called silent strokes. Over time, as more areas of the brain are damaged, the symptoms of dementia appear.
  • Not all strokes are silent. Larger strokes that affect strength, sensation, or other brain and nervous system (neurologic) function can also lead to dementia.

Risk factors for vascular dementia include:

  • Diabetes
  • Hardening of the arteries (atherosclerosis), heart disease
  • High blood pressure (hypertension)
  • Smoking
  • Stroke

Symptoms of dementia may also be caused by other types of disorders of the brain. One such disorder is Alzheimer disease. Symptoms of Alzheimer disease can be similar to those of vascular dementia. Vascular dementia and Alzheimer disease are the most common causes of dementia, and may occur together.

What are the symptoms of Vascular Dementia?

Symptoms of vascular dementia may develop gradually or may progress after each small stroke.

Symptoms may begin suddenly after each stroke. Some people with vascular dementia may improve for short periods, but decline after having more silent strokes. Symptoms of vascular dementia will depend on the areas of the brain that are injured due to the stroke.

Early symptoms of dementia can include:

  • Difficulty performing tasks that used to come easily, such as balancing a checkbook, playing games (such as bridge), and learning new information or routines
  • Getting lost on familiar routes
  • Language problems, such as trouble finding the name of familiar objects
  • Losing interest in things you previously enjoyed, flat mood
  • Misplacing items
  • Personality changes and loss of social skills as well as behavioral changes

As dementia worsens, symptoms are more obvious and the ability to take care of oneself declines. Symptoms may include:

  • Change in sleep patterns, often waking up at night
  • Difficulty doing basic tasks, such as preparing meals, choosing proper clothing, or driving
  • Forgetting details about current events
  • Forgetting events in your own life history, losing awareness of who you are
  • Having delusions, depression, or agitation
  • Having hallucinations, arguments, striking out, or violent behavior
  • Having more difficulty reading or writing
  • Having poor judgment and loss of ability to recognize danger
  • Using the wrong word, not pronouncing words correctly, or speaking in confusing sentences
  • Withdrawing from social contact

Nervous system (neurologic) problems that occur with a stroke may also be present.

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What are the current treatments for Vascular Dementia?

There is no treatment to turn back damage to the brain caused by small strokes.

An important goal is to control symptoms and correct the risk factors. To prevent future strokes:

  • Avoid fatty foods. Follow a healthy, low-fat diet.
  • DO NOT drink more than 1 to 2 alcoholic drinks a day.
  • Keep blood pressure lower than 130/80 mm/Hg. Ask your doctor what your blood pressure should be.
  • Keep LDL "bad" cholesterol lower than 70 mg/dL.
  • DO NOT smoke.
  • The doctor may suggest blood thinners, such as aspirin, to help prevent blood clots from forming in the arteries. DO NOT start taking aspirin or stop taking it without talking to your doctor first.

The goals of helping someone with dementia in the home are to:

  • Manage behavior problems, confusion, sleep problems, and agitation
  • Remove safety hazards in the home
  • Support family members and other caregivers

Medicines may be needed to control aggressive, agitated, or dangerous behaviors.

Medicines used to treat Alzheimer disease have not been shown to work for vascular dementia.

Who are the top Vascular Dementia Local Doctors?
Elite
Highly rated in
17
conditions
Neurology

Montefiore Health System

Montefiore Medical Center

Bronx, NY 10461

Richard Lipton is a Neurologist in Bronx, New York. Dr. Lipton has been practicing medicine for over 34 years and is rated as an Elite doctor by MediFind in the treatment of Vascular Dementia. He is also highly rated in 17 other conditions, according to our data. His top areas of expertise are Migraine, Headache, Vascular Dementia, and Dementia. He is licensed to treat patients in New York. Dr. Lipton is currently accepting new patients.

Elite
Highly rated in
9
conditions
Neurology

Montefiore Health System

Montefiore Medical Center

Bronx, NY 10461

Joe Verghese is a Neurologist in Bronx, New York. Dr. Verghese has been practicing medicine for over 33 years and is rated as an Elite doctor by MediFind in the treatment of Vascular Dementia. He is also highly rated in 9 other conditions, according to our data. His top areas of expertise are Vascular Dementia, Dementia, CACH Syndrome, and Foot Drop. He is licensed to treat patients in New York. Dr. Verghese is currently accepting new patients.

 
 
 
 
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Elite
Highly rated in
15
conditions

University Of Geneva

Lausanne, VD, CH 1011

Gilles Allali is in Lausanne, Switzerland. Allali is rated as an Elite expert by MediFind in the treatment of Vascular Dementia. He is also highly rated in 15 other conditions, according to our data. His top areas of expertise are Vascular Dementia, Foot Drop, Normal Pressure Hydrocephalus, and CACH Syndrome.

What is the outlook (prognosis) for Vascular Dementia?

Some improvement may occur for short periods, but the disorder will generally get worse over time.

What are the possible complications of Vascular Dementia?

Complications include the following:

  • Future strokes
  • Heart disease
  • Loss of ability to function or care for self
  • Loss of ability to interact
  • Pneumonia, urinary tract infections, skin infections
  • Pressure sores
When should I contact a medical professional for Vascular Dementia?

Contact your doctor if symptoms of vascular dementia occur. Go to the emergency room or call the local emergency number (such as 911) if there is a sudden change in mental status, sensation, or movement. These are emergency symptoms of stroke.

How do I prevent Vascular Dementia?

Control conditions that increase the risk of hardening of the arteries (atherosclerosis) by:

  • Controlling high blood pressure
  • Controlling weight
  • Stopping the use of tobacco products
  • Reducing saturated fats and salt in the diet
  • Treating related disorders
Central nervous system and peripheral nervous system
Brain
Brain and nervous system
Brain structures
What are the latest Vascular Dementia Clinical Trials?
Care Ecosystem: Navigating Patients and Families Through Stages of Care, Extension Trial
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Reshaping the Path of Vascular Cognitive Impairment With Resistance Training
What are the Latest Advances for Vascular Dementia?
Zinc carnosine: Frontiers advances of supplement for cancer therapy.
Efficacy and safety of Buyang-Huanwu-Tang (Boyang-Hwano-Tang) in patients with vascular dementia: A systematic review and meta-analysis.
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Surgical prevention of progressive cerebral ischemia after ischemic stroke.
Who are the sources who wrote this article ?

Published Date : February 04, 2020
Published By : Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Stony Brook University School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Internal review and update on 08/20/2021 by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Budson AE, Solomon PR. Vascular cognitive impairment and vascular dementia. In: Budson AE, Solomon PR, eds. Memory Loss, Alzheimer's Disease, and Dementia. 3rd ed. Philadelphia, PA: Elsevier; 2022:chap 7.

Knopman DS. Cognitive impairment and dementia. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 374.

Peterson RC, Graff-Radford J. Alzheimer disease and other dementias. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 95.

Seshadri S, Caunca MR, Rundek T. Vascular dementia and cognitive impairment. In: Grotta JC, Albers GW, Broderick JP et al, eds. Stroke: Pathophysiology, Diagnosis, and Management. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 18.