Health Professional Guide to Memory Loss: Vascular Dementia and Mixed Dementias

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Vascular Dementia

Characteristics

  • Cognitive decline occurs less than 3 months after stroke
  • Focal neurological symptoms
  • Sudden decline
  • Stroke
  • Gait disorder
  • Unable to cope

Recommendations

  • Hachinski Ischaemia Score: a score of 7 or higher indicates possible vascular dementia

Download Hachinski table :http://www.strokecenter.org/trials/scales/hachinski.html

  • IN PURE VASCULAR DEMENTIA, DONEPEZIL IS THE DRUG OF CHOICE

Therapeutic Alternatives

  • Donepezil
  • If risk factors exist, use Rivastigmine

 

Mixed Dementias

Characteristics

  • Alzheimer’s Disease + vascular components

Therapeutic Alternatives

  • Galantamine

Behavioural problems

When behavioral problems are present, choose between:

  • Donezepil
  • Galantamine
  • Rivastigmine

 

 

Therapeutic Expectations with the use of anticholinergics

COMPLAINTS

RESULTS

Losing objects

Usually no effect

Asking questions repetitively

Good result

Disorientation in time

Good result

Disorientation in space

Mixed result

Apathy/loss of initiative

Good result

 

Next: Resources and Links

 

We are pleased to house this series of FAQs for health professionals, supervised by Cara Tannenbaum, from the Centre de recherche de l’Institut universitaire de gériatrie de Montréal.

Browse Contents of the Health Professional Guide to Memory Loss:

 

 

 

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