Vascular dementia symptoms vary, depending on the part of your brain where blood flow is impaired. Symptoms often overlap with those of other types of dementia, especially Alzheimer's disease.
Vascular dementia symptoms may be most clear-cut when they occur suddenly following a stroke. When changes in your thinking and reasoning seem clearly linked to a stroke, this condition is sometimes called post-stroke dementia.
Another characteristic pattern of vascular dementia symptoms sometimes follows a series of strokes or mini strokes. In this pattern, changes in your thought processes occur in noticeable steps downward from your previous level of function, unlike the gradual, steady decline that typically occurs in Alzheimer's disease.
But vascular dementia can also develop very gradually, just like Alzheimer's disease. What's more, vascular dementia and Alzheimer's often occur together.
Studies show that people with dementia symptoms usually have brain changes typical of more than one type. Some doctors call this condition mixed dementia.
Vascular dementia symptoms include:
May 02, 2014
- Trouble paying attention and concentrating
- Reduced ability to organize thoughts or actions
- Decline in ability to analyze a situation, develop an effective plan and communicate that plan to others
- Difficulty deciding what to do next
- Problems with memory
- Restlessness and agitation
- Unsteady gait
- Sudden or frequent urge to urinate or inability to control passing urine
- Korczyn AD, et al. Vascular dementia. Journal of the Neurological Sciences. 2012;322:2.
- Mohr JP, et al. Stroke Pathophysiology, Diagnosis, and Management. 5th ed. Philadelphia, Pa.: Saunders Elsevier. 2011. http://www.clinicalkey.com. Accessed Feb. 2, 2014.
- Dementia: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/dementias/detail_dementia.htm. Accessed Feb. 2, 2014.
- Daroff RB, et al. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. https://www.clinicalkey.com. Accessed Feb. 2, 2014.
- Wright CB. Etiology, clinical manifestations, and diagnosis of vascular dementia. http://www.uptodate.com/home. Accessed Feb. 2, 2014.
- Goldman L, et al. Goldman's Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Feb. 2, 2014.
- Wright CB. Treatment and prevention of vascular dementia. http://www.uptodate.com/home. Accessed Feb. 2, 2014.
- Medications for memory loss. Alzheimer's Association. http://www.alz.org/alzheimers_disease_standard_prescriptions.asp. Accessed Feb. 4, 2014.
- Caring for a person with Alzheimer's disease. National Institute on Aging. http://www.nia.nih.gov/alzheimers/publication/caring-person-alzheimers-disease. Accessed Feb. 4, 2014.
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