Abstract

Vascular dementia has an unusual history. It ceased to be the most common type of dementia because of a change of opinion rather than a change in reality, and recent attempts to develop rigorous diagnostic criteria for vascular dementia could have made it even more rare. It is ironic that clinics and long-term care facilities are full of patients who have both dementia and cerebrovascular disease, but explicit management recommendations for vascular dementia are few, in part because it is difficult to recruit adequate numbers of “pure” vascular dementia for clinical trials.

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