What is vascular dementia?
Vascular dementia is cognitive decline from reduced brain blood flow — strokes, small vessel disease or chronic hypoperfusion. Second most common dementia and highly preventable.
Related: Cognitive Care → · Dr. Jitendra Knowledge Hub → · ICHD-3 Topic →
Symptoms
Stepwise decline (sudden drops after strokes), executive dysfunction, slowed processing, gait disturbance, urinary symptoms. Often coexists with Alzheimer's.
Prevention and treatment
Control blood pressure, diabetes, cholesterol; treat atrial fibrillation; quit smoking; exercise; Mediterranean diet. Cholinesterase inhibitors and memantine for symptoms.