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Vascular Dementia : Introduction



What is Vascular Dementia?

Dementia is a serious illness of losing the cognitive ability. Vascular dementia is losing the memory and cognitive ability due to blockage in the brain?s blood supply. The disease is typically seen in the age group of 60 to 75. The major reason for the disease is the interrupted arteries by the blockages which take oxygen-rich blood to brain.

Vascular dementia Definition

Vascular dementia occurs when there is imbalanced synchronization in the brain, meaning, when the impaired blood flow occurs to a person?s brain. Alzheimer?s disease is one of the common diseases and it is considered as fatal, which can occur after a certain specific time. The dementia is very common after the Lewy body dementia. It was earlier deemed as a common problem which was caused due to small and minor strokes. However, with the passage of time, things started surfacing and many doctors started believing that this is one of the fatal problems suffered by man, at any point of time. The reason could be anything from age to accidents or for no reason.  

Vascular Dementia Symptoms

The signs of vascular dementia differ from patient to patient. One can look for both, physical and behavioral signs.

Physical signs of vascular dementia can be loss of memory problem, giddiness, poor concentration and body ache. Behavioral signs of vascular dementia can be inaudible speech, getting lost even in familiar places, inappropriate ways of laughing and smiling, incapability of understanding instructions and issues in handling money.

Stages of Vascular Dementia

Vascular dementia which is often confused with Alzheimer can progress in two stages. The first or early stage is less complicated and manageable. Patient can have loss of short time memory, poor concentration level; find difficulties in walking or performing regular activities. The positive side is in this stage patient understands his situation and thus it becomes easier to handle them. The situation can be managed with reminders and cues from people around.

The later stage is certainly worst. Hallucination, wandering, delusion and confusion overpower the patient. His of Her confusion and hallucination make the patient violent and the care taker needs to be very careful dealing with the patient. With progress the patient becomes weak and immobile.

Vascular dementia diagnosis and prognosis

To diagnose vascular dementia, an entire diagnostic workup needs to be performed. Imaging procedures which gives the detailed picture of brain to find reasons for strokes and blocked arteries is important. A neuropsychologist can diagnose the nature and level of cognitive mutilation.  

Prognosis for vascular dementia differs from patient to patient. If the disease is progressing with strokes then the situation get worst and a stable situation can have sudden downturns. In the case of blockage or narrow artery the situation get more complex step by step.  

Vascular Dementia Life Expectancy

Life expectancy of vascular dementia patient varies from person to person. It depends on the malfunction level of cardiovascular system that is causing the dementia, the age of the person, and the other medical conditions.

Vascular Dementia Treatment

Unfortunately no authenticated drugs are available for vascular dementia. However, medications used for Alzheimer are used sometimes by doctors. The medication is used mainly to prevent further strokes. Cholinesterase inhibitor and Namenda are generally prescribed by doctors.  

The focus depends on managing the cardiovascular system. The caretaker should keep the track of blood pressure, pulse, blood sugar and sometimes cholesterol. All these factors impact to the blood flow and to the brain and its health.  

The other major element of treatment can be changes in life style and behavioral management strategies. It helps in managing the patient and the situation till certain level. 

We at offer basic information about this disease and how one can deal with vascular dementia patients.