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Chaired by Dr P
INTRODUCTION
EPIDEMIOLOGY
>
In India AD>VaD
HISTORY
ICD
ICD 8 (1965)
ICD 9 (1975)
ICD 10 (1990)
Organic psychosis
293.0
Psychosis associated
with cerebral
arteriosclerosis
290.4
Arteriosclerotic
dementia
F01 Vascular
dementia
F01.0 Vascular
dementia of acute
onset
F01.1 Multi-infarct
dementia
F01.2 Subcortical
vascular dementia
F01.3 Mixed cortical
and subcortical
vascular dementia
F01.8 Other vascular
dementia
F01.9 Vascular
dementia,
293.1
Psychosis associated
with other
cerebrovascular
disturbances
DSM
ETIOLOGY
Risk factors
PATHOLOGY
number of infarcts,
CLINICAL FEATURES
SUB-TYPES
MULTI-INFARCT DEMENTIA
CORTICAL VASCULAR
DEMENTIA
SMALL-VESSEL DISEASE
SUBCORTICAL VASCULAR
DEMENTIA
SIVD
BINSWANGERS
DISEASE
POST-STROKE DEMENTIA
STRATEGIC INFARCT
DEMENTIA
CADASIL
INHERITED
ANGIOPATHIES
DIAGNOSIS
ICD 10 F01 VASCULAR
DEMENTIA
presence of a dementia
ICD DCR
F 01
B. A history of hypertension.
NINDS-AIREN
CONTD
ALZHEIMER'S DISEASE
DIAGNOSTIC AND TREATMENT
CENTERS(ADDTC)
A. 1. Dementia
3. Focal changes in
electroencephalographic studies
3. Seizures
Concept of mixed
aphasia
Infraction/ischemic
stroke
Hemorrhage
Memory disturbance
Stepwise deterioration
Patchy cognitive
deficits
Focal neurological signs
Focal neurological
symptoms
Evidence of stroke
events
Etiological relation to
disturbance
DSM
IV
ICD
10
ADD
TC
NIND
S
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DIFFERENTIAL
DIAGNOSIS
If they meet the criteria for AD but not for vascular dementia,
then they are given a diagnosis of Alzheimer's disease with
cerebrovascular disease
Vascular Dementia
Alzheimer's Disease
- History of atherosclerotic
diseases: present
- Onset sudden or gradual
- Progression slow or stepwise
- Neurological deficits
- Gait often disturbed early
- Memory mild impairment in
early phase
- Executive function marked
impairment and early
- Type of dementia subcortical
- Hachinski Ischemic Score 7
- Neuroimaging infarction or
white matter lesions
- History of atherosclerotic
diseases less common
- Onset gradual
- Progression slow, progressive
decline
- Neurological examination
normal
- Gait usually normal
- Memory impairment prominant
in early phase
- Executive impaired later
- Type of dementia cortical
- Hachinski Ischemic Score 4
- Neuroimaging normal or
hippocampal atrophy
Dementia with
Lewy bodies
Parkinsons
Disease
Frontotemporal
Dementia
CreutzfeldtJakob
Disease
HIV dementia
Huntingtons
Apathy, social
withdrawal,tremor,hypertonia,hyperreflexia common
COURSE AND
PROGNOSIS
TREATMENT
CONCLUSION
THANK U