Vascular Dementia
Epidemiology
Clinical Features
Treatment
NOTE: Multi-infarct can be seen on CT but not MRI
Prognosis
5y mortality >63%
Source
Prof. S Pridmore 2013
- 5.6% > 60y
Clinical Features
- Sudden onset (memory, severe apraxia)
- Occurrence of one or more strokes
- Neurological abnormalities
- Tendency to fluctuating course with day-to-day improvement
- Stepwise progression
- Labile emotional state
- Tendency for retained insight
- Hypertension
- Evidence of coronary or other major arterial disease
Treatment
- Control lifestyle and diet
- Control CVS diseases (diabetes, htn, AF)
- Prevent or rapid treatment for stroke/ TIA
NOTE: Multi-infarct can be seen on CT but not MRI
Prognosis
5y mortality >63%
Source
Prof. S Pridmore 2013