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A 39-year-old member asked:

how do i know if it is vascular dementia or something else?

2 doctor answers12 doctors weighed in
Dr. Steven Reidbord
Psychiatry 36 years experience
Can be hard to know: If dementia occurs in the context of cerebrovascular disease (strokes, tias), especially if the deficits correlate with known anatomical lesions, it is presumed vascular. Neuropsych testing may add evidence (or not). Vascular dementia also tends to progress in discrete steps, rather than continuously. There are many causes of dementia; some can be hard to diagnose in the living patient.
Dr. Maureen Nash
Geriatric Psychiatry 24 years experience
May need expert: For a specific diagnosis, it is best to see someone experienced with that type of illness. A geriatric psychiatrist or a neurologist experienced with dementia may be the best person or you can check with the person's primary care provider.

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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 41-year-old member asked:

How is vascular dementia different than other types of dementia?

2 doctor answers10 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Vascular dementia: Vascular dementia may overlap with other types of dementia such as alzheimer's, but results from damage to, or blockages in, blood vessels that nourish the brain. This leads to tiny "infarcts" or deaths of nerve cells in the brain. People with hypertension and/or arteriosclerotic narrowing of these blood vessels are vulnerable to such changes, which happen in a stair-step process over time.

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Last updated Apr 23, 2016

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