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Vascular dementia

Lookup NU author(s): Professor John O'Brien, Professor Alan ThomasORCiD

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Abstract

Vascular dementia is one of the most common causes of dementia after Alzheimer's disease, causing around 15% of cases. However, unlike Alzheimer's disease, there are no licensed treatments for vascular dementia. Progress in the specialty has been difficult because of uncertainties over disease classification and diagnostic criteria, controversy over the exact nature of the relation between cerebrovascular pathology and cognitive impairment, and the paucity of identifiable tractable treatment targets. Although there is an established relation between vascular and degenerative Alzheimer's pathology, the mechanistic link between the two has not yet been identified. This Series paper critiques some of the key areas and controversies, summarises treatment trials so far, and makes suggestions for what progress is needed to advance our understanding of pathogenesis and thus maximise opportunities for the search for new and effective management approaches.


Publication metadata

Author(s): O'Brien JT, Thomas A

Publication type: Article

Publication status: Published

Journal: The Lancet

Year: 2015

Volume: 386

Issue: 10004

Pages: 1698-1706

Print publication date: 24/10/2015

Acceptance date: 01/01/1900

ISSN (print): 0140-6736

ISSN (electronic): 1474-547X

Publisher: Elsevier

URL: http://dx.doi.org/10.1016/S0140-6736(15)00463-8

DOI: 10.1016/S0140-6736(15)00463-8


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