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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(6):639-646.
Vascular Dementia.
Jeong, Yong , Kang, Sue J , Na, Duk L
Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Korea. dukna@smc.samsung.co.kr
혈관성 치매
정용·강수진·나덕렬
성균관의대 삼성서울병원 신경과
Abstract
Vascular dementia (VD) is a dementia syndrome associated with cerebrovascular disease. Among the several subtypes of VD, most common subtypes are multi-infarct dementia, single-infarct dementia, and subcortical vascular dementia. In patients with multi-infarct dementia, dementia occurs with a close temporal relationship to stroke episodes. Brain imaging usually shows multiple territory cortico-subcortical infarcts. Single-infarct dementia, in contrast, is caused by a single infarct in specific regions of the brain such as thalamus, caudate nucleus, capsular genu, angular gyrus, or hippocampus. In subcortical VD, primary lesion is lacunar infacts or ischemic white matter lesions that are located in subcortical regions, i.e., deep nuclei (basal ganglia and thalamus) or white matter (periventricular and deep white matter). The diagnosis of subcortical vascular dementia is challenging, since stroke episodes are often unrecognized, thus temporal relationship between onset of dementia and stroke is lacking. This article describes 1) subtypes of VD, 2) illustrative cases with vascular dementia, 3) research criteria for VD, 4) treatment of VD, and 5) a general guideline on caregiving for patients with VD, which will enable clinicians to provide better diagnosis and management of patients with VD. (Korean Acad Rehab Med 2002; 26: 639-646)
Key Words: Vascular dementia, Dementia, Cerebrovascular disease, Stroke
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