Vascular dementia

Case contributed by Assoc Prof Frank Gaillard

Presentation

Memory problems.

Patient Data

Age: 80 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

CT

Single axial non-contrast CT image demonstrates patchy periventricular hypodensity seen bilaterally. 

MRI

MRI demonstrates multiple T2 white matter hyperintensities seen on both T2 and FLAIR images. 

Case Discussion

These features are non-specific and common and represent chronic small vessel ischemic change. It used to be thought that Alzheimer's disease and vascular dementia were separate, if not exactly mutually exclusive. We now recognize that they often co-exist. As such before a diagnosis of vascular dementia can be made, a careful assessment for imaging and neurocognitive features of Alzheimer's disease should be undertaken. 

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Case information

rID: 10675
Published: 5th Sep 2010
Last edited: 27th May 2020
Inclusion in quiz mode: Included

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