▲Vascular dementia is caused by poor blood circulation in the brain. One of the symptoms is sudden dementia, and the condition often deteriorates in steps.

(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 the deterioration of cognitive function, it is often accompanied by poorly controlled hypertension. The goal of stable disease can be achieved by controlling the risk factors of vascular sclerosis.

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.

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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 confusion at night begins 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.

Poor blood circulation in the brain often worsens step by step

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

But depression, delusions and other symptoms often occur.

In addition, such patients must undergo systemic vascular assessment, such as cardiovascular or peripheral blood vessels. When dementia symptoms are combined with a history of stroke or multiple risk factors for vascular sclerosis, neurologists will suspect that the symptoms may be vascular Manifestations of dementia.

Physicians will first test the patient's cognitive function, evaluate the control of blood pressure and blood sugar, 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 important to control risk factors for vascular sclerosis, such as hypertension, hyperlipidemia and diabetes, and advise patients to quit smoking, encourage patients to eat low-salt, low-oil, Continuous and regular exercise.

For patients who may be confused at night, it is recommended to be patient and constantly remind the sense of orientation of 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 and injuries due to frequent waking up activities at night.

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  • dementia

  • Alzheimer's disease

  • Vascular dementia

  • Health Net-Head and Neck

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