Dementia definition |
Global deterioration from previous level of function sufficient to interfere with the patient's life
|
Impairment of memory plus at least two other areas of cognitive domains (not due to the physical effects of stroke alone) sufficient to interfere with the patient's life |
Probable VaD |
Requires all of the following: |
Requires all of the following: |
|
1. Dementia |
1. Dementia |
|
2. Evidence of two or more strokes by |
2. CVD; focal signs on examination + evidence of relevant |
|
history, neurological signs, and/or |
CVD by brain imaging (CT/MRI) |
|
neuroimaging, or a single stroke with a |
3. Relationship between the above two disorders, |
|
clear temporal relationship to the |
manifested by one or more of the following: |
|
onset of dementia |
• dementia onset within 3 months of a stroke |
|
3. Evidence of at least one infarct |
• abrupt deterioration in cognitive functions, |
|
outside the cerebellum by CT or Tl-weighted MRI |
or fluctuating stepwise course |
Possible |
1. Dementia and |
May be made in the presence of dementia and focal |
|
2. One or more of the following: |
neurological signs in patients with: |
|
• History or evidence of a single stroke |
1 . No evidence of CVD on neuroimaging; or |
|
without a clear temporal relationship |
2. In the absence of clear temporal relationship between |
|
to dementia onset, or |
stroke and dementia; or |
|
• Binswanger's disease that includes all the following: |
3. In patients with subtle onset and variable course of cognitive deficit and evidence of CVD |
|
(i) early onset of urinary incontinence or gait disturbance; |
|
|
(ii) vascular risk factors; |
|
|
(iii) extensive white matter changes on neuroimaging |
|