Education And Debate

Fortnightly Review: Vascular dementia

BMJ 1996; 312 doi: http://dx.doi.org/10.1136/bmj.312.7025.227 (Published 27 January 1996) Cite this as: BMJ 1996;312:227
  1. Khaled Amar, lecturer in care for the elderlya,
  2. Gordon Wilcock, professor in care for the elderlya
  1. a Bristol University, Department of Care of the Elderly, Frenchay Hospital, Bristol BS16 1LE
  1. Correspondence to: Professor Wilcock.

    Abstract

    Summary points

    • Symptomatic stroke increases the risk of dementia more than ninefold

    • Vascular dementia is one of the three commonest causes of dementia

    • Above the age of 85 years it may be commoner than Alzheimer's disease

    • Vascular dementia may be caused by multiple infarcts, white matter ischaemia, or a strategically placed infarct

    • All patients with possible vascular dementia need careful assessment to detect any underlying causes and risk factors that might be remediable

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