Munson Health
 
Vascular Dementia

Back to Document

by Alan R

(Binswanger’s Disease; Senile Dementia; Binswanger’s Type; Vascular Cognitive Impairment; Arteriosclerotic Dementia; Atherosclerotic Disease)

 

Definition

Vascular dementia is a type of dementia . It is caused by disease of the small blood vessels in the brain. Parts of the brain called white matter along with grey matter are injured by multiple small strokes .
Healthy and Injured Brain Blood Vessels
Blood Flow and Lack of Blood Flow to the Brain
Copyright © Nucleus Medical Media, Inc.
 

Risk Factors

Factors that may increase your chances of developing vascular dementia include:
 

Diagnosis

The symptoms of vascular dementia can resemble other causes of dementia, such as Alzheimer’s disease.
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Pictures may be taken of your brain and bodily structures. This can be done with:
Your heart and brain activity may be evaluated. This can be done with:
Your bodily fluids may be tested. This can be done with blood tests.
 

Treatment

There is no known cure for vascular dementia. Reducing risk factors and symptoms are important in trying to slow disease progression and improve quality of life.
Medications can be given to help limit or control symptoms and possibly slow progression of the disease. These include:
 

Prevention

There are no definitive guidelines to prevent vascular dementia. However, the following may help reduce your risk:
 

RESOURCES

Alzheimer’s Association
http://www.alz.org

National Institute of Neurological Disorders and Stroke
http://www.ninds.nih.gov

 

CANADIAN RESOURCES

Alzheimer Society of Canada
http://www.alzheimer.ca

Heart and Stroke Foundation of Canada
http://www.heartandstroke.com

 

References


Binswanger’s disease—revisited. Neurology. 1995;45: 626-633.


Kirschner H. Vascular dementia: a review of recent evidence for prevention and treatment. Curr Neurol Neurosci Rep. 2009;9(6):437-442.


Roman GC. Brain hypoperfusion: a critical factor in vascular dementia. Neurol Res. 2004;26:454-458.


Roman GC, Erkinjuntti T, Wallin A, et al. Subcortical ischaemic vascular dementia. Lancet Neurology. 2002;1:426-436.


Smith EE. Leukoariosis and stroke. Stroke. 2010;41(10 Suppl):S139-143.


Tomassoni D, Lanari A, Silvestrelli G, Traini E, Amenta F. Nimodipine and its use in cerebrovascular disease: evidence from recent preclinical and controlled clinical studies. Clin Exp Hypertens. 2008;30(8):744-766.


Vascular dementia. Alzheimer's Association website. Available at: http://www.alz.org/dementia/vascular-dementia-symptoms.asp. Accessed July 29, 2013.


Vascular dementia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 8, 2013. Accessed July 29, 2013.


Vascular dementia: a resource list. National Institute on Aging website. Available at: http://www.nia.nih.gov/alzheimers/vascular-dementia-resource-list. Accessed July 29, 2013.


9/3/2014 DynaMed's Systematic Literature Surveillance. Available at: http://www.ebscohost.com/dynamed: Wippold FJ, Cornelius RS, et al. American College of Radiology (ACR) Appropriateness Criteria for dementia and movement disorders. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/DementiaAndMovementDisorders.pdf. Updated 2014. Accessed September 3, 2014.

 

Revision Information