Binswanger's disease (BD), also called subcortical
Rare hereditary diseases such as CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) also cause Binswanger disease. Thus, Binswanger disease is actually a clinical syndrome of vascular dementia with multiple causes, not a specific disease.
Vascular dementia is generally caused by conditions that occur most often in older people, such as atherosclerosis (hardening of the arteries), heart disease, and stroke. The number of people older than 65 years is increasing. People are living longer with chronic diseases, such as heart disease and diabetes.
Home-based help will usually be needed, and some people will eventually need care in a nursing home. Although treatment can help, vascular dementia can significantly shorten life expectancy. But this is highly variable, and many people live for several years with the condition, or die from some other cause.
On average, people with vascular dementia live for around five years after symptoms begin, less than the average for Alzheimer's disease. Because vascular dementia shares many of the same risk factors as heart attack and stroke, in many cases, the person's death will be caused by a stroke or heart attack.
your age – the risk of vascular dementia increases as you get older, with people over 65 most at risk. your family history – your risk of problems such as strokes is higher if a close family member has had them.
As a person's vascular dementia progresses, they may begin to behave in ways that seem out of character. For example, they may become more agitated or aggressive, or have sleep problems. They may also act in ways that others find embarrassing or difficult to understand.
When it results from a stroke, symptoms are more likely to begin suddenly. About 20% of people who suffer a stroke will develop vascular dementia within six months. Whether or not changes in thinking, memory, or mental ability occur will depend on the area of the brain the stroke affected.
Introduction: The five-word test (5WT) is a serial verbal memory test with semantic cuing. It is proposed to rapidly evaluate memory of aging people and has previously shown its sensitivity and its specificity in identifying patients with AD.
People with VaD may exhibit the following behavior: Problems with thinking, walking and performing everyday activities are the most prominent symptoms. Many people with VaD also suffer from depression, which can result in less motivation to perform their usual activities or a lack of interest in the world around them.
Because there is no cure, the best treatment is preventive, early in the adult years, by controlling risk factors such as hypertension, diabetes, and smoking. BD is a progressive disease; there is no cure. Changes may be sudden or gradual and then progress in a stepwise manner.
More Evidence That Alzheimer's Disease May Be Inherited from Your Mother. Results from a new study contribute to growing evidence that if one of your parents has Alzheimer's disease, the chances of inheriting it from your mother are higher than from your father.
The majority of dementia is not inherited by children and grandchildren. In rarer types of dementia there may be a strong genetic link, but these are only a tiny proportion of overall cases of dementia.
Another clue is impaired coordination or balance. In vascular dementia, problems walking or balancing can happen early. With Alzheimer's, these symptoms usually occur late in the disease.
Vascular dementia refers to changes to memory, thinking, and behavior resulting from conditions that affect the blood vessels in the brain. Cognition and brain function can be significantly affected by the size, location, and number of vascular changes.
Magnetic resonance imaging (MRI).
MRI s are generally the preferred imaging test because MRI s can provide even more detail than CT scans about strokes, ministrokes and blood vessel abnormalities and is the test of choice for evaluating vascular dementia.
It is quite common for a person with dementia, especially in the later stages, to spend a lot of their time sleeping – both during the day and night. This can sometimes be distressing for the person's family and friends, as they may worry that something is wrong.
Vascular dementia has been associated with slightly higher pain prevalences, probably because of the possibility that the brain white matter lesions are the cause of central pain.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
Vitamin B12 and Folic Acid: Being deficient in both Vitamin B12 and folic acid is common in those with dementia and Alzheimer's disease. Taken together, these two supplements can help lower the levels of an amino acid in the blood that is often linked to dementia.
People who exercise regularly are less likely to experience heart disease and stroke, both factors that are associated with an increased risk of developing dementia. Exercise is also important in reducing the risk of high blood pressure, type 2 diabetes and obesity, all of which are risk factors for dementia.
A 2019 study published in Journal of Alzheimer's Disease, showed among 165 participants (45 with diagnosed neurodegenerative disease, 120 controls) a supine sleep position (on back, head at body level) for more than 2 hours per night increased the risk of dementia by almost four times (3.7 times greater).