Journal of Korean Geriatric Psychiatry

노인정신의학

pISSN 1226-6329 / eISSN 2733-4600


노인정신의학

대한노인정신의학회 (16권2호 82-88)

Vascular Dementia

혈관성 치매

이영민(Young Min Lee);김어수(Eosu Kim);박제민(Je Min Park)

Abstract

Vascular dementia (VaD) is a dementia syndrome produced by vascular damage to the brain and increases in incidence with ad-vancing age. Early Identification and diagnosis of VaD is particularly importent since its course may be modifiable through control-ling vascular risk factors. VaD is heterogeneous and consists of several syndromes : multi-infarct dementia, strategic single infarcts dementia, and subcortical vascular dementia. The diagnosis of VaD is based on several features 1) dementia, 2) evidence of cere-brovascular disease, and 3) temporal relationship between dementia and cerebrovascular disease. Treatment of VaD includes control of vascular risk factors, prevention of further vascular injury and treatment of cognitive impairment. Cholinesterase inhibitors pro-vide symptomatic benefits in treatment of VaD.

Keywords

혈관성 치매,혈관성 위험인자,진단기준,치료, Vascular dementia,Vascular risk factors,Diagnosis,Treatment