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Clinical Forms of Vascular Dementia

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Vascular Dementia

Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

The presence of vascular dementia (VaD) is largely unrecognized and untreated in the elderly (1,2). The typical history is that of an elderly parent or grandparent who fails to regain the previous level of function and independence after a stroke. More often, in the absence of the heralding stroke symptoms, the family notices that the patient has become depressed and apathetic, exhibits personality changes, experiences social inhibition, and has slowing mental capacity and sluggish motor activities with the inability to solve simple daily problems. Walking becomes deliberate, insecure, with a shuffling character and short steps; patients become unsteady on their feet and may take frequent falls. Often, the patient also suffers from urinary urgency, stress incontinence, and nocturia. Patients are no longer able to perform simple activities of daily living (ADLs), such as using the bathroom, showering, getting dressed, cooking, shopping, participating in rehabilitation activities and exercise routines, or performing more complex tasks, such as using the telephone or balancing a checkbook. Frequently, these changes occur after a surgical procedure, such as abdominal surgery, knee or hip replacement, or coronary artery bypass graft (CABG).

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Authors and Affiliations

  1. Geriatric Research Education and Clinical Center, Department of Neurology, University of Texas Health Science Center, San Antonio

    Gustavo C. Román

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Editors and Affiliations

  1. Department of Psychiatry and Human Behavior, Brown Medical School, Providence, RI

    Robert H. Paul PhD  & Ronald Cohen PhD  & 

  2. Department of Neurology, Memorial Hospital of Rhode Island, Pawtucket, Rhode Island

    Brian R. Ott MD

  3. Department of Clinical Neurosciences, Brown Medical School, Providence, RI

    Brian R. Ott MD  & Stephen Salloway MD  & 

  4. Department of Neurology, Butler Hospital, USA

    Stephen Salloway MD

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Román, G.C. (2005). Clinical Forms of Vascular Dementia. In: Paul, R.H., Cohen, R., Ott, B.R., Salloway, S. (eds) Vascular Dementia. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-824-2:007

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