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Cognitive Syndrome(s) in Preclinical and Clinical Vascular Dementia

Published online by Cambridge University Press:  10 January 2005

Ove Almkvist
Affiliation:
Karolinska Institutet; Department of Clinical Neuroscience, Occupational Therapy, and Elderly Care Research (NEUROTEC); Division of Geriatric Medicine, Huddinge University Hospital, Stockholm, Sweden

Abstract

It is still a challenge to identify typical features of cognitive function in vascular dementia (VaD) in clinical as well as in preclinical stages. Selective empirical findings are described to illuminate degrees of cognitive decline. In predementia stages, speeded performance (motor and mental) and executive functions may be affected as demonstrated by CADASIL subjects and stroke survivors. In dementia stages, motor and mental speed as well as executive functions is commonly affected in addition to typical cognitive dysfunction in dementia (memory, verbal, and visuospatial). To summarize characteristics during preclinical and clinical stages, VaD appears to be associated with impairment in motor and mental speed as well as in executive function.

Type
CLINICAL PHENOMENOLOGY
Copyright
© 2003 International Psychogeriatric Association

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