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A 38-year-old member asked:

can vascular dementia be reversible?

3 doctor answers7 doctors weighed in
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Vascular dementia: Depends on extent & etiology, most cases are reversible.
Dr. Bennett Machanic
Neurology 52 years experience
Complex treatment: Need to prevent further strokes, so should be using anti-platelet drug such as clopidrigrel or aggrenox. The dementia studies have indicated best outcomes using galantamine (galantamine hydrobromide) or donepezil. Reversibility is based on how much damage due to stroke effect has already occurred, as want to avoid "lacunar state".
Dr. Alan Steinberg
Psychiatry 38 years experience
Possibly: Depending on the level, location, severity of the vascular lesions or cerebral insults, there is a possibility that some sxs will be reversed somewhat or improved; the brain can compensate at times for vascular insults; however, the key element is treating the underlying diseases such as hypertension and weight and removing high risk behaviors such as smoking.

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Colleyville, TX
A 39-year-old male asked:

What is vascular dementia?

3 doctor answers10 doctors weighed in
Dr. Barbara A Majeroni
Specializes in Family Medicine
Confusion: It is confusion and loss of memory based on narrowing of the blood vessels in the brain.
Colleyville, TX
A 39-year-old male asked:

Is vascular dementia reversible?

6 doctor answers12 doctors weighed in
Dr. George Valdez
Specializes in Family Medicine
Not much: It is possible to develop or create new circulation, such as unblocking carotid artery, and brains have ways of developing new pathways to compensate, but for the most part we only slow down dementia, not reverse it. Hopefully one day there will be better treatments.
A 42-year-old member asked:

Are there any drugs specifically for vascular dementia patients?

2 doctor answers3 doctors weighed in
Dr. Susan Uhrich
Psychiatry 36 years experience
Not specifically.: The best medicine would be to treat the vascular problem as aggressively as possible. So high blood pressure should be well controlled, etc.
A 44-year-old member asked:

What is the typical age at which the first signs of vascular dementia appear?

1 doctor answer2 doctors weighed in
Dr. Susan Uhrich
Psychiatry 36 years experience
That depends on: How severe the underlying cardiovascular disease is. But the "typical" age would be 50 or over.
A 32-year-old member asked:

How do you distinguish between vascular dementia and alzheimers?

2 doctor answers7 doctors weighed in
Dr. Steven Reidbord
Psychiatry 36 years experience
Not easy: Clinically, alzheimer's tends to be a smooth decline over time, while vascular dementia declines in steps, as small regions of the brain lose function. Neuropsychological testing may lend evidence for, but not prove, one cause or the other. A definitive diagnosis can only be made by brain biopsy (which is rarely done), or at autopsy.

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Last updated Apr 16, 2014

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