Vascular dementia: An updated approach to patient management

R. N. Butler, J. Ahronheim, H. Fillit, S. I. Rapoport, T. K. Tatemichi

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

A new clinical approach to the prevention and treatment of vascular dementia is evolving. The physician has numerous options to consider when the patient is in an asymptomatic 'brain at risk' stage. These include treatment of hypertension, elevated cholesterol, and atrial fibrillation, as well as smoking cessation, exercise, and dietary changes. When there are early signs of cerebrovascular disease, such as TIAs and subtle cognitive changes, more aggresssive therapy may be warranted, including carotid endarterectomy, anticoagulants, aspirin, and ticlopidine. For patients with vascular dementia, treatment focuses on preventing further cerebrovascular damage and managing related symptoms, such as depression.

Original languageEnglish
Pages (from-to)39-46
Number of pages8
JournalGeriatrics
Volume49
Issue number1
StatePublished - 1994

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