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Dementia, Vascular

Birju B. Patel, MD, FACP, AGSF and N. Wilson Holland, MD, FACP, AGSF Reviewed 06/2018
 


BASICS

Vascular dementia is a heterogeneous disorder caused by the sequel of cerebrovascular disease that manifests in cognitive impairment affecting memory, thinking, language, behavior, and judgment...

DIAGNOSIS

Differentiation between Alzheimer dementia and vascular dementia can be difficult, and significant overlap is seen in the clinical presentation of these two dementias. The diagnosis of vascu...

TREATMENT

Prevention is the real key to treatment: 
  • Control of risk factors, including HTN, hyperlipidemia, and diabetes

  • Avoidance of tobacco and smoking cessation

  • Healthy, low-cholesterol diet

MEDICATION

  • ...

ONGOING CARE

Vascular dementia is a condition that should be followed with multiple visits in the office setting with goals of optimizing cardiovascular risk profiles for patients. Future planning and...

REFERENCES

1
1 Gorelick PB, Scuteri A, Black SE, et al; for American Heart Association/American Stroke Association. Vascular contributions to cognitive impairment and dementia: a statement for healthca...

ADDITIONAL READING

Eizaguirre NO, Rementeria GP, González-Torres M, et al. Updates in vascular dementia. Heart Mind.  2017;1(1):22–35. 

SEE ALSO

Alzheimer Disease; Depression; Mild Cognitive Impairment 

CODES

ICD10

  • F01.50 Vascular dementia without behavioral disturbance

  • F01.51 Vascular dementia with behavioral disturbance

ICD9

  • 290.40 Vascular dementia, uncomplicated

  • 290.41 Vascular dementia, with delirium

  • ...

CLINICAL PEARLS

  • Executive dysfunction and gait abnormalities are often seen early and are more pronounced in vascular dementia as opposed to Alzheimer dementia.

  • Memory is relatively preserved in vascul...

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