The concept of vascular cognitive impairment.

Abstract:

:Vascular dementia (VaD) is increasingly recognised to reflect an outmoded concept in that it identifies cases too late for preventive therapy to have an opportunity to prevent the development of dementia and uses a cognitive paradigm inappropriately based on Alzheimer's disease. A replacement is urgently required and a new concept, that of vascular cognitive impairment (VCI), has been proposed to meet this need. It is imperative that criteria for VCI are developed on the basis of knowledge and data rather than supposition and assumption, as was the case for VaD. This review details the state of knowledge that we have now reached concerning the fundamental points of severity and cognitive paradigm and also covers a number of other imaging-related essential points embracing atrophy, leukoaraiosis, infarct volume and infarct location. Finally, the increasingly important concept of mixed dementia (co-existent Alzheimer's disease and VCI) is discussed.

journal_name

J Neurol Sci

authors

Bowler JV

doi

10.1016/s0022-510x(02)00253-8

subject

Has Abstract

pub_date

2002-11-15 00:00:00

pages

11-5

eissn

0022-510X

issn

1878-5883

pii

S0022510X02002538

journal_volume

203-204

pub_type

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