Geometry.Net - Health_Conditions: Vascular Dementia

NINDS Multi-Infarct Dementia Information Page
Good overview of dementia from strokes or other vascular causes. Maintained by the National Institute of Health
http://www.ninds.nih.gov/health_and_medical/disorders/multi-infarctdementia_doc.
Without A Title - F01 Vascular Dementia
F01 vascular dementia Clinical description and diagnostic guidelines
http://www.informatik.fh-luebeck.de/icd/icdchVF-F01.html

Extractions: Categories Chapter Index A-Z All pages ... Forum Vascular (formerly arteriosclerotic) dementia , which includes multiinfarct dementia , is distinguished from dementia in Alzheimer's disease Diagnostic guidelines The diagnosis presupposes the presence of a dementia as described above. Impairment of cognitive function is commonly uneven, so that there may be memory loss, intellectual impairment, and focal neurological signs. Insight and judgement may be relatively well preserved. An abrupt onset or a stepwise deterioration, as well as the presence of focal neurological signs and symptoms, increases the probability of the diagnosis; in some cases, confirmation can beprovided only by computerized axial tomography or, ultimately, neuropathological examination. Associated features are: hypertension, carotid bruit, emotional lability with transient depressive mood, weeping or explosive laughter, and transient episodes of clouded consciousness or delirium , often provoked by further infarction. Personality is believed to be relatively well preserved, but
Vascular Dementia Alzheimer's Outreach
An article about vascular dementia. Includes a definition, the types, diagnosis, progression, prevention and treatment.
http://www.zarcrom.com/users/alzheimers/odem/d4.html

Extractions: Vascular Dementia Vascular dementia is the second most common cause of dementia, accounting for about 20 per cent of all cases by itself and up to another 20 per cent in combination with Alzheimers disease. Alzheimers disease alone accounts for about 50 per cent. It usually affects people between the ages of 60 and 75 and is slightly more common in men than women. Vascular dementia is a term for dementia associated with problems in the circulation of blood to the brain (cerebrovascular disease). It encompasses a wide range of diseases or disorders, the principal feature of which is loss of intellectual abilities. Unlike with most forms of Alzheimers disease, the cause of vascular dementia is known. If blood vessels in the brain burst (cerebral haemorrhage), if arteries blocked by plaque formation or clots (thrombosis or embolism), or if there is insufficient blood flow to parts of the brain (ischaemia) brain tissue will die. This is often called a stroke. It is thought that about a fifth of people who have strokes will develop problems involving their mental abilities including dementia. The risk factors for vascular dementia are those associated with all forms of stroke, the most significant of which is high blood pressure (hypertension). Brain tissue may also die due to disease in the blood vessels. Following is an overview of types of vascular dementia, causes, diagnosis and progression. However, it is important to note that unlike with most Alzheimers cases, vascular dementia can be very difficult to distinguish from other forms of dementia and many researchers still do not agree on the various types of vascular dementia.
EMedicine - Vascular Dementia : Article By Kannayiram Alagiakrishnan, MD
They include (1) multiinfarct dementia, (2) vascular dementia due to a strategic single infarct, (3) vascular dementia
http://www.emedicine.com/med/topic3150.htm

Extractions: (advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Psychiatry Last Updated: November 7, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: arteriosclerotic dementia, atherosclerotic disease, dementia due to vascular disease, multiinfarct dementia, vascular cognitive impairment, Alzheimer disease, AD AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Kannayiram Alagiakrishnan, MD , Assistant Professor, Department of Medicine, Division of Geriatric Medicine, University of Alberta Coauthor(s): Kamal Masaki, MD , Associate Director of Geriatric Medicine Fellowship, Associate Professor, Department of Internal Medicine, Division of Geriatric Medicine, University of Hawaii, John a Burns School of Medicine Kannayiram Alagiakrishnan, MD, is a member of the following medical societies: American College of Physicians American Geriatrics Society , and American Medical Association Editor(s): Mohammed Memon, MD
EMJA: Sachdev Et Al, Vascular Dementia: Diagnosis, Management And Possible Preve
vascular dementia diagnosis, management and possible prevention There has been a recent upsurge of interest in the clinical features of and risk factors for vascular dementia, and consensus is emerging on its diagnostic characteristics.
http://www.mja.com.au/public/issues/jan18/sachdev/sachdev.html

Extractions: Review Vascular dementia: diagnosis, management and possible prevention There has been a recent upsurge of interest in the clinical features of and risk factors for vascular dementia, and consensus is emerging on its diagnostic characteristics. We discuss these features and risk factors and the main intervention strategies, both for treatment and prevention. Perminder S Sachdev, Henry Brodaty and Jeffrey C L Looi Introduction Definition Epidemiology Clinical-pathological correlates and pathogenesis ... Articles on similar material Introduction Developments in the past three decades have led to a radical rethinking of the association between cerebrovascular disease (CVD) and dementia, and set the stage for a reconceptualisation of dementia from vascular causes. We will review recent developments in the concept of vascular dementia (VaD), and discuss its importance as a common, and potentially preventable, form of dementia. Definition There are two obvious steps in the diagnosis of VaD diagnosis of dementia per se and establishment of its vascular aetiology. Dementia is defined as a multifaceted decline in cognitive functioning causing impaired functioning in daily life.
THIRD INTERNATIONAL CONGRESS ON VASCULAR DEMENTIA-PRAGUE 2003
ACCOMPANYING PERSONS PROGRAM. OPTIONAL CONGRESS TOURS. LINKS. Future Congress FourthInternational Congress on vascular dementia Amsterdam, The Netherlands 2005.
http://www.kenes.com/vascular/
SECOND INTERNATIONAL CONGRESS ON VASCULAR DEMENTIA [ Home Page ]
The congress will discuss aspects of vascular dementia, identify specificpsychological markers and the overlap with Alzheimer's disease.
http://www.kenes.com/vascular2002/

Extractions: Last update:11/02/2002 The Second International Congress on Vascular Dementia was forced, due to the tragic events of September 11 2001, to move its location and dates only two weeks before the original opening date of October 4-7, 2001. The new dates and location (Salzburg, Austria, January 2002) proved to be a Hugh success with a turn over of more then 600 participants from 44 countries.
Vascular Dementia&&Dementia Care&&Caregiver Burden
vascular dementia Canadian Alzheimer's Disease Centre
http://www.searchaword.net/Vascular_Dementia/Vascular_Dementia.html
Topic 12 Vascular Dementia
Contact us My privacy NINDS is part of the National Institutes of Health. VascularDementia Get Web page suited for printing Email this to a friend or colleague.
http://www.ninds.nih.gov/funding/neural_environment/stroke_prg/topic12.htm
Vascular Dementia Overlay Slice 20
HomeHelpClinical, Slice 20. Click on sagittal image to select slice.Click on thin tickmark to change timepoint, or thick tickmark for overlay.
http://www.med.harvard.edu/AANLIB/cases/case18/mr1-tc1/020.html
Vascular Dementia
vascular dementia. The patient was a 76 year old woman who had a historyof porcine valve replacement for aortic stenosis and stroke
http://www.med.harvard.edu/AANLIB/cases/case18/case.html

Extractions: The patient was a 76 year old woman who had a history of porcine valve replacement for aortic stenosis and stroke with left hemiparesis, who became withdrawn and suspicious of her surroundings. She had an abrupt decline in memory function and processing speed at the time of the stroke, but had shown some improvement and was living independently. Images show evidence of an old "slit hemorrhage" in the right basel ganglia (lateral putamen, here ), as well as several other small deep white and grey matter lesions which probably represent infarction. The perfusion pattern is consistent with vascular disease as well, since multiple perfusion defects can be seen throughout the brain. Some details have been altered to protect confidentiality. Keith A. Johnson (keith@bwh.harvard.edu), J. Alex Becker (jabecker@mit.edu)
Without A Title - F01.2 Subcortical Vascular Dementia
F01.2 Subcortical vascular dementia. Diagnostic criteria for research.A. The general criteria for vascular dementia ( F01) must be met.
http://www.informatik.fh-luebeck.de/icd/icdchVF-F01.2.html

Extractions: Categories Chapter Index A-Z All pages ... Forum There may be a history of hypertension and foci of ischaemic destruction in the deep white matter of the cerebral hemispheres, which canbe suspected on clinical grounds and demonstrated on computerized axial tomography scans. The cerebral cortex is usually preserved and this contrasts with the clinical picture, which may closely resemble that of dementia in Alzheimer's disease . (Where diffuse demyelination of white matter can be demonstrated, the term "Binswanger's encephalopathy" may be used.) A. The general criteria for vascular dementia ( ) must be met. B. A history of hypertension. C. Evidence from clinical examination and special investigations of vascular disease located in the deep white matter of the cerebral hemispheres, with preservation of the cerebral cortex. Categories Chapter Index A-Z All pages ... Forum
Vascular Dementia Trial
vascular dementia Trial. The dementia is usually the result of infarction of the braindue to vascular diseases, including hypertensive cerebrovascular disease.
http://www.vasculardementiatrial.com/

Extractions: Vascular (formerly arteriosclerotic) dementia , which includes multiinfarct dementia, is distinguished from dementia in Alzheimer's disease by its history of onset, clinical features, and subsequent course. Typically, there is a history of transient ischæmic attacks with brief impairment of consciousness, fleeting pareses, or visual loss. The dementia may also follow a succession of acute cerebrovascular accidents or, less commonly, a single major stroke. Some impairment of memory and thinking then becomes apparent. Onset, which is usually in later life, can be abrupt, following one particular ischaemic episode, or there may be more gradual emergence. The dementia is usually the result of infarction of the brain due to vascular diseases, including hypertensive cerebrovascular disease. The infarcts are usually small but cumulative in their effect. The diagnosis presupposes the presence of a dementia as described above. Impairment of cognitive function is commonly uneven, so that there may be memory loss, intellectual impairment, and focal neurological signs. Insight and judgement may be relatively well preserved. An abrupt onset or a stepwise deterioration, as well as the presence of focal neurological signs and symptoms, increases the probability of the diagnosis; in some cases, confirmation can beprovided only by computerized axial tomography or, ultimately, neuropathological examination. Associated features are: hypertension, carotid bruit, emotional lability with transient depressive mood, weeping or explosive laughter, and transient episodes of clouded consciousness or delirium, often provoked by further infarction. Personality is believed to be relatively well preserved, but personality changes may be evident in a proportion of cases with apathy, disinhibition, or accentuation of previous traits such as egocentricity, paranoid attitudes, or irritability.
Vascular Dementia Trial
vascular dementia Trial. . Contact Us Name EmailSubject Comments HOME . Online Picks.
http://www.vasculardementiatrial.com/contact.html
EMedicine - Vascular Dementia : Article Excerpt By: Kannayiram Alagiakrishnan, M
vascular dementia vascular dementia is the second most common form ofdementia after Alzheimer disease (AD). Excerpt from vascular dementia.
http://www.emedicine.com/med/byname/vascular-dementia.htm

Extractions: (advertisement) Synonyms, Key Words, and Related Terms: arteriosclerotic dementia, atherosclerotic disease, dementia due to vascular disease, multiinfarct dementia, vascular cognitive impairment, Alzheimer disease, AD Background: Vascular dementia is the second most common form of dementia after Alzheimer disease (AD). The condition is not a single disease but a group of syndromes relating to different vascular mechanisms. Vascular dementia is preventable; therefore, early detection and accurate diagnosis is important. Patients who have had a stroke are at increased risk for vascular dementia. Recently, vascular lesions have been thought to play a role in AD. As early as 1899, arteriosclerosis and senile dementia were described as different syndromes. In 1969, Mayer-Gross et al described this syndrome and pointed out that hypertension is the cause in approximately 50% of cases. In 1974, Hachinski et al coined the term multiinfarct dementia. In 1985, Loeb used the broader term vascular dementia. Recently, Bowler and Hachinski introduced a new term, vascular cognitive impairment. Pathophysiology: Many subtypes of vascular dementia have been described to date. They include (1) multiinfarct dementia, (2) vascular dementia due to a strategic single infarct, (3) vascular dementia due to lacunar lesions, (4) vascular dementia due to hemorrhagic lesions, and (5) Binswanger disease.
Vascular Dementia HelpNote
vascular dementia. Research over the next five to ten years may significantlyalter our understanding of vascular dementia. Causes of vascular dementia.
http://www.alznsw.asn.au/library/vasclar.htm

Extractions: Vascular dementia is the second most common cause of dementia, accounting for about 20 per cent of all cases by itself and up to another 20 per cent in combination with Alzheimers disease. Alzheimers disease alone accounts for about 50 per cent. It usually affects people between the ages of 60 and 75 and is slightly more common in men than women. Vascular dementia is a term for dementia associated with problems in the circulation of blood to the brain (cerebrovascular disease). It encompasses a wide range of diseases or disorders, the principal feature of which is loss of intellectual abilities. Unlike with most forms of Alzheimers disease, the cause of vascular dementia is known. If blood vessels in the brain burst (cerebral haemorrhage), if arteries blocked by plaque formation or clots (thrombosis or embolism), or if there is insufficient blood flow to parts of the brain (ischaemia) brain tissue will die. This is often called a stroke. It is thought that about a fifth of people who have strokes will develop problems involving their mental abilities including dementia. The risk factors for vascular dementia are those associated with all forms of stroke, the most significant of which is high blood pressure (hypertension). Brain tissue may also die due to disease in the blood vessels. Following is an overview of types of vascular dementia, causes, diagnosis and progression. However, it is important to note that unlike with most Alzheimers cases, vascular dementia can be very difficult to distinguish from other forms of dementia and many researchers still do not agree on the various types of vascular dementia. Research over the next five to ten years may significantly alter our understanding of vascular dementia.
Annotated Read List On Vascular Dementia
ANNOTATED RESOURCES LIST ON vascular dementia. What is vascular dementia? /Alzheimer's Disease Society. London Alzheimer's Disease Society, 1997.
http://www.alznsw.asn.au/Library/rlvasc.htm

Extractions: This resources list is one in a series prepared in the information resources centre, Alzheimer's Australia NSW. resources lists are updated on an annual basis. The list is intended to provide an understanding of material available in the information resources centre on vascular dementia. It is a select bibliography and does not cover all the resources available on this topic in the information resources centre. * The loss of self: a family resource for the care of Alzheimer's disease and related disorders / Donna Cohen, Carl Eisdorfer. - New York: New American Library, c1986, pp.300-306. [Format: Book contents]
Alzheimer Disease: Related Dementias, Vascular Dementia, Stroke
vascular dementia. Note If you plan to print this page, please also printthe introduction page to Related Dementias. What is vascular dementia?
http://www.alzheimer.ca/english/disease/dementias-vascular.htm

Extractions: Creutzfeldt-Jakob Disease Lewy body Dementia ... Vascular Dementia [Note: If you plan to print this page, please also print the introduction page to Related Dementias. It provides an overview of dementias related to Alzheimer Disease.] Vascular Dementia (VaD) is the result of a single or multiple stroke. A stroke is the main area of damaged brain caused by a loss of blood flow. Strokes can be large or small, and can have a cumulative effect (each stroke adding further to the problem). VaD is less common than Alzheimer Disease. VaD often co-exists with Alzheimer Disease, a condition called "mixed dementia." Both men and women can be affected by VaD. Risk factors for VaD include high blood pressure (hypertension), narrowing of the arteries, heart disease or diabetes. Smoking, being overweight, having elevated cholesterol levels and a family history of heart problems may also increase the risk of stroke, which increase the risk of VaD. Mini-strokes (sometimes referred to as transient ischemic attacks TIAs) are warning signs that a stroke may be imminent. Temporary loss of vision, speech, strength or brief episodes of numbness may indicate a TIA. Identifying the risk factors for VaD is important because often they may be treated to reduce the risk of stroke.
Vascular Dementia
vascular dementia. Click Here. A B C D E F G H I J K L M N O P QR S T U V W X Y Z Books Credits. Second most common type of dementia
http://www.webref.org/psychology/v/vascular_dementia.htm
Aspirin For Vascular Dementia (Cochrane Review)
Aspirin for vascular dementia (Cochrane Review). Is there convincingevidence that aspirin benefits patients with vascular dementia?
http://www.cochrane.org/cochrane/revabstr/ab001296.htm

Extractions: Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review Williams PS, Rands G, Orrel M, Spector A ABSTRACT A substantive amendment to this systematic review was last made on 20 August 2000. Cochrane reviews are regularly checked and updated if necessary. Background: Aspirin is widely prescribed for patients with a diagnosis of vascular dementia; in one study, completed by geriatricians and psychiatrists in the UK, 80% of patients with cognitive impairment (with vascular risk factors) were prescribed aspirin. However, a number of queries remain unanswered. Is there convincing evidence that aspirin benefits patients with vascular dementia? Does aspirin affect cognition or improve prognosis? In addition, does the risk of cerebral or gastric haemorrhage outweigh any benefit? Objectives: To assess the evidence of effectiveness of the use of aspirin for vascular dementia. Search strategy: Trials were identified from a search of the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group on 22 January 2002 using the terms: aspirin and "vascu* or multi-infarct". This database contains records from all major medical databases and major trials databases and is updated regularly.

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