- Last edited on October 12, 2023
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geri:dementia:vascular [on February 9, 2022] psychdb [Primer] |
geri:dementia:vascular [on February 9, 2022] psychdb [Primer] |
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== Epidemiology == | == Epidemiology == | ||
+ | * The prevalence is higher in males than in females. | ||
* The prevalence for vascular dementia ranges from 0.2% in the 65-70 years age group to 16% in 80 years and older. | * The prevalence for vascular dementia ranges from 0.2% in the 65-70 years age group to 16% in 80 years and older. | ||
* Within 3 months post-stroke, 20%-30% of individuals are diagnosed with dementia. | * Within 3 months post-stroke, 20%-30% of individuals are diagnosed with dementia. | ||
- | * The prevalence is higher in males than in females. | + | * It is suggested that the vascular dementia is overdiagnosed, as non-significant cerebrovascular lesions may be overcalled as the main etiology for the presenting dementia.[([[https://pubmed.ncbi.nlm.nih.gov/25633672/|Niemantsverdriet, E., Feyen, B. F., Le Bastard, N., Martin, J. J., Goeman, J., De Deyn, P. P., & Engelborghs, S. (2015). Overdiagnosing vascular dementia using structural brain imaging for dementia work-up. Journal of Alzheimer's Disease, 45(4), 1039-1043.]])][([[https://pubmed.ncbi.nlm.nih.gov/3291834/|Brust, J. C. (1988). Vascular dementia is overdiagnosed. Archives of Neurology, 45(7), 799-801.]])] |
== Prognosis == | == Prognosis == | ||
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== Terminology == | == Terminology == | ||
- | * There is often confusing and poorly defined terminology in the medical literature that is used interchangably for vascular dementia, including: vascular cognitive impairment, post-stroke dementia, post-stroke cognitive impairment, and multi-infarct dementia. | + | * There is often confusing and poorly defined terminology in the medical literature that is used interchangeably for vascular dementia, including: vascular cognitive impairment, post-stroke dementia, post-stroke cognitive impairment, and multi-infarct dementia. |
* Recent consensus groups have attempted to define new terminology to improve diagnostic terms. | * Recent consensus groups have attempted to define new terminology to improve diagnostic terms. | ||
===== DSM-5 Diagnostic Criteria ===== | ===== DSM-5 Diagnostic Criteria ===== |