✦ LIBER ✦

Vascular dementia: dead or alive?

✍ Scribed by Rahul Rao; Robert Howard

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 128 KB
Volume: 13
Category: Article
ISSN: 0885-6230
DOI: 10.1002/(sici)1099-1166(199805)13:5<277::aid-gps767>3.0.co;2-d

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✦ Synopsis

The term Vascular Dementia' remains popular as a diagnostic entity, since it encompasses a variety of vascular pathologies. This is in stark contrast to many clinical classi®catory systems that weight their de®nitions strongly towards stroke alone. A diagnosis of vascular dementia is complicated by compounding factors that reduce both the validity and speci®city of diagnostic systems. This review highlights some of the problems faced in epidemiological, clinical, neuropathological and radiological studies attempting to de®ne a clear-cut syndrome of dementia associated with cerebrovascular disease. The role of non-stroke ischaemia is also discussed. It is concluded that the term vascular dementia' may have outlived its usefulness as a valid concept; alternative approaches are suggested.

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