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.
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
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.
Risk factors for vascular dementia include:
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.
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:
As dementia worsens, symptoms are more obvious and the ability to take care of oneself declines. Symptoms may include:
Nervous system (neurologic) problems that occur with a stroke may also be present.
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:
The goals of helping someone with dementia in the home are to:
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.
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.
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.
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.
Some improvement may occur for short periods, but the disorder will generally get worse over time.
Complications include the following:
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.
Control conditions that increase the risk of hardening of the arteries (atherosclerosis) by:
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.
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