Vascular dementia

21:54 - 4 May , 2021

Disease

What is Vascular dementia?

Vascular dementia is when, as a result of a deficiency in brain blood flow, progressive and irreversible problems occur in reasoning, planning, understanding, and concentrating, affecting judgment, reasoning, language, and behavior. This condition can occur due to disorders that affect the blood vessels and decrease circulation, preventing oxygen and other vital nutrients from reaching the brain. Some factors can trigger the onset of vascular dementia, including:
  • Atherosclerosis.
  • High cholesterol.
  • Diabetes.
  • Atrial fibrillation and other cardiovascular conditions.
  • Smoking.
  • Cerebral hemorrhage.
  • Hypertension.
  • Stroke.
  • Obesity.
Vascular dementia can develop progressively and appear together with Alzheimer's disease.

Symptoms

Symptoms depend on the brain area in which the blood flow decreases, but the most characteristic signs include:
  • Decreased ability to reason.
  • Depressive periods.
  • Apathy.
  • Imbalance or instability when walking.
  • Disorientation.
  • Inability to communicate effectively.
  • Impatience, anxiety, agitation.
  • Sudden and frequent need to urinate.
  • Urinary incontinence.
  • Attention, concentration, and memory problems.
Unlike Alzheimer's disease, the symptoms are related to mental agility and problem solving, not memory loss.

Diagnosis and treatment

Once the doctor analyzes your symptoms and clinical history, you will have a physical examination that will include a neurological exam. Likewise, he or she will request blood tests to know your cholesterol and glucose levels, as well as lack of vitamins and thyroid abnormalities. You may also require brain imaging studies such as MRI and CT scans, which allow your doctor to confirm the diagnosis and rule out other neurological conditions related to loss of reasoning and disorientation. Additionally, it will apply neuropsychological tests to evaluate your reasoning abilities. The treatment to be followed will be based on addressing the causes or conditions linked to vascular dementia, focusing mainly on:
  • Lowering cholesterol levels.
  • Controlling blood glucose levels.
  • Avoiding blood clots.
  • Freeing the arteries from cholesterol.
  • Lowering blood pressure.
At the Neurological Center, a select group of highly trained and certified doctors in the various neurological specialties are ready to assist you with the quality and warmth that characterizes us. Nervous system specialties
  • Neurology
  • Neurosurgery
  • Spine surgery
  • Pediatric neurosurgery
  • Neurophysiology
  • Neuro-rehabilitation
  • Neuro-pathology
  • Interventional neuro-radiology
  • Neuropsychology
  • Neuro-oncology
  • Neuro-otology
  • Epilepsy
  • Neuro-ophthalmology
  • Neuroimaging

Fuentes:

  • svneurologia.org
  • mayocilinic.org
  • medlineplus.gov
  • msdmanuals.com
  • cun.es
  • medigraphic.com
  • Valdevila FJA, Valdevila SR, Orellana RC, et al. Síndrome de Otelo en demencia vascular por infartos múltiples. Correo Científico Médico. 2020;24(4):1315-1322.
  • Picado OJE, Sandí JA. Perfil del paciente con demencia del programa de atención domiciliaria geriátrica del Hospital Nacional de Geriatría y Gerontología Doctor Raúl Blanco Cervantes – San José, Costa Rica. Revista Médica Sinergia. 2020;5(11):1-10.
  • Pérez RM, García ZJJ, Martínez BEJ, et al. Caracterización de pacientes geriátricos con demencia vascular. Sancti Spíritus. Gaceta Médica Espirituana. 2017;19(1):.
  • Muñoz-Pérez MJ, Espinosa-Villaseñor D. Deterioro cognitivo y demencia de origen vascular. Rev Mex Neuroci. 2016;17(6):85-96.
  • Canciano CE, Silva VN, León LE, et al. Demencia vascular como marcador de riesgo en adultos mayores hipertensos, algunos aspectos de interés. Revista de Ciencias Médicas de la Habana. 2014;20(2):135-141.

						
The dissemination of the content of this material is for informational purposes only and does not replace, under any circumstance or condition, a consultation with a specialist doctor, for which the ABC Medical Center is not responsible for the different use that may be given to it. If you require more information related to the subject, we suggest you contact the specialist doctor you trust directly.