Can vascular dementia be reversible?

Vascular dementia: Depends on extent & etiology, most cases are reversible.

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".

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.