Vol. 5 nº 4 - Oct/Nov/Dec de 2011
Views & Reviews Páginas: 264 a 274

Vascular dementia: Cognitive, functional and behavioral assessment. Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Part II

Authors Eliasz Engelhardt1; Carla Tocquer2; Charles André3; Denise Madeira Moreira4; Ivan Hideyo Okamoto5; José Luiz de Sá Cavalcanti6; Working Group on Alzheimer's Disease and Vascular Dementia of the Brazilian Academy of Neurology


keywords: recommendations, vascular dementia, neuropsychology, activities of daily living, behavioral and psychological symptoms, diagnosis disclosure.

Vascular dementia (VaD) is the most prevalent form of secondary dementia and the second most common of all dementias. The present paper aims to define guidelines on the basic principles for treating patients with suspected VaD (and vascular cognitive impairment - no dementia) using an evidence-based approach. The material was retrieved and selected from searches of databases (Medline, Scielo, Lilacs), preferentially from the last 15 years, to propose a systematic way to assess cognition, function and behavior, and disease severity staging, with instruments adapted for our milieu, and diagnosis disclosure. The present proposal contributes to the definition of standard diagnostic criteria for VaD based on various levels of evidence. It is noteworthy that only around half of the population of patients with vascular cognitive impairment present with dementia, which calls for future proposals defining diagnostic criteria and procedures for this condition.


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