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Vascular Dementia
Journal of the Korean Society of Biological Psychiatry ; : 80-88, 2016.
Artigo em Coreano | WPRIM | ID: wpr-725035
ABSTRACT
Vascular dementia is a very frequent form of dementia. Debates over classification and diagnostic criteria, and controversy over identifiable treatment targets will continue until distinct pathophysiological mechanism of vascular dementia is found. Clinical diagnostic criteria are sufficiently strong to be useful for clinical trials, but need further refinement. Cognitive changes in vascular dementia are more variable than other disorders, and are dependent on the vascular pathology. Accurate diagnosis of vascular dementia is known to need the presence of reliable cerebrovascular disease on brain imaging. Although it seems obvious that cerebrovascular disease causes pathological damage and impaired cognition, it is very difficult to find the accurate contribution of cerebrovascular pathology to cognitive decline. Most studies have shown a small but significant benefit of cholinesterase inhibitors on cognition, the significance of this effect has been slight and benefits on global functioning, activities of daily living, and behaviour have not been consistently reported. Management of vascular dementia should focus on identifying and managing vascular risk factors.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Patologia / Atividades Cotidianas / Demência Vascular / Transtornos Cerebrovasculares / Inibidores da Colinesterase / Fatores de Risco / Classificação / Cognição / Demência / Diagnóstico Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo prognóstico / Fatores de risco Idioma: Coreano Revista: Journal of the Korean Society of Biological Psychiatry Ano de publicação: 2016 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Patologia / Atividades Cotidianas / Demência Vascular / Transtornos Cerebrovasculares / Inibidores da Colinesterase / Fatores de Risco / Classificação / Cognição / Demência / Diagnóstico Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo prognóstico / Fatores de risco Idioma: Coreano Revista: Journal of the Korean Society of Biological Psychiatry Ano de publicação: 2016 Tipo de documento: Artigo