neurologic disorders
Vascular Cognitive Impairment and Dementia
Key Points
Vascular cognitive impairment and dementia can occur as a series of discrete episodes (which may seem like a gradual decline) or in a single episode. Focal neurologic signs may help differentiate vascular cognitive impairment and dementia from other dementias. Confirm that dementia is vascular based on a history of stroke or neuroimaging findings that suggest a vascular cause. Control vascular risk factors, and if Alzheimer disease could also be present, treat with cholinesterase inhibitors andmemantine. 