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Vascular dementia: persisting controversies and questions
Author(s) -
Moncayo J.,
Bogousslavsky J.
Publication year - 1996
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.1996.tb00221.x
Subject(s) - overdiagnosis , dementia , vascular dementia , medicine , stroke (engine) , disease , cognitive decline , neuroscience , intensive care medicine , psychiatry , pathology , psychology , mechanical engineering , engineering
The concept of vascular dementia remains controversial. Indeed, in many instances what is called vascular dementia may neither be vascular nor dementia. However, while overdiagnosis may be frequently made, underrecognition of vascular factors in dementia also seems common. Recent works show that focal/multifocal cognitive and executive dysfunction which may follow sequential or more rarely single‐strategic stroke should be differentiated from more diffuse progressive intellectual decline mimicking a degenerative disorder (such as Alzheimer's disease) which may smoothly develop in over one fourth of stroke patients.