Vascular cognitive impairment: a new approach to vascular dementia.

作者: Bowler Jv , Hachinski

DOI:

关键词: Multiinfarct dementiaPsychiatryDiseaseCognitive impairmentDementiaPreventive therapyVascular dementiaMedicineEtiologyConfusion

摘要: Abstract Vascular dementia has remained a confused concept since its origin over century ago. Recently developed criteria, which have not met with universal acceptance, erroneously base their description of vascular on Alzheimer's disease, an error that is founded in the historical confusion two conditions. These errors include requirements for prominent memory loss and occurrence substantial degree cognitive impairment before can be diagnosed. They also treat as single condition fail to address question aetiology. Furthermore, these criteria largely ignore such data already available regarding dementia. preventable. Thus cases need detected soon possible avoid unnecessary deterioration. To correct new concept, impairment, proposed. This seeks identify due cerebrovascular disease at very earliest stage and, by identifying aetiology, enable institution appropriate preventive therapy.

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