Vascular dementia is caused by poor blood circulation in the brain. One of its symptoms is characterized by sudden onset of dementia, and the condition often presents a stepwise deterioration.

(Provided by Beirong Hsinchu Branch)

[Reporter Liao Xueru/Hsinchu Report] Taipei Veterans General Hospital Hsinchu Branch found from the statistics of dementia confirmed cases in the hospital that Alzheimer's dementia and vascular dementia accounted for about 75%, and the incidence of the two diseases was similar; Among them, vascular dementia can occur at any age. In addition to cognitive function degeneration, it is often accompanied by poorly controlled hypertension. The goal of stabilizing the disease can be achieved by controlling the risk factors of vascular sclerosis. It is recommended that the public should go to the neurology clinic for further examination as soon as possible.

Dr. Yin Juhao, Director of the Department of Neurology, pointed out that vascular dementia is caused by poor blood circulation in the brain, which may be caused by a serious stroke or progressive hardening of small blood vessels in the brain.

One of the symptoms is characterized by sudden dementia, and the condition often shows a stepwise deterioration.

The second feature is that it is easy to appear normal during the day, but the nighttime confusion begins to be unconscious when it gets dark.

In addition, symptoms of previous strokes such as weakness in hands and feet, walking on one side, dizziness, etc. will also be mixed.

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Yin Juhao said that usually, the personality degeneration of patients with vascular dementia will be milder than that of Alzheimer's patients, and their personalities will not change too much or have eccentric tempers.

But depression, delusions and other symptoms often occur.

In addition, such patients must undergo systematic vascular assessment, such as cardiovascular or peripheral blood vessels, when dementia symptoms are combined with a history of stroke or multiple risk factors for arteriosclerosis (such as high blood pressure, diabetes, high cholesterol, etc.) , neurologists may suspect that the symptoms may be a manifestation of vascular dementia.

Vascular dementia is caused by poor blood circulation in the brain. One of its symptoms is characterized by sudden onset of dementia, and the condition often presents a stepwise deterioration.

(Provided by Beirong Hsinchu Branch)

Physicians will first test the patient's cognitive function, evaluate the control of blood pressure and blood sugar and other vascular risk factors, and arrange vascular ultrasound and brain imaging examinations to evaluate the extent of cerebral vascular sclerosis and lesions.

Yin Juhao said that if it is confirmed that it is vascular dementia, the treatment will focus on preventing re-stroke, so as to slow down the degeneration of the patient's cognitive function.

In addition to using antiplatelet drugs, such as aspirin, to prevent cerebral vascular embolism, it is more important to control risk factors for vascular sclerosis, such as hypertension, hyperlipidemia, and diabetes, and advise patients to quit smoking, and encourage patients to adopt low-salt and low-fat diets. Oily diet, consistent and regular exercise.

In addition, patients are prone to abnormal mental and behavioral symptoms such as irritability, depression, abnormal behavior, and nighttime confusion, which cause great distress to family members who live with them and require treatment and control.

For patients who may be confused at night, it is recommended to be patient and constantly remind them to maintain a sense of orientation to time and home space, maintain sufficient brightness in the living environment, turn on the TV to increase environmental stimulation, and protect the home environment to avoid falls due to frequent waking activities at night Injuried.

Yin Juhao, a neurologist, said that vascular dementia can be stabilized by controlling the risk factors of vascular sclerosis. If you suspect that your family members or yourself are suffering from vascular cognitive dysfunction, it is recommended to go to the neurology clinic for further examination as soon as possible.

(Provided by Beirong Hsinchu Branch)

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  • stroke

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  • vascular sclerosis

  • Vascular dementia

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