1st February 2024

Clinical features

A classic history of stepwise progression is suggestive of vascular dementia but is not always seen. The onset of illness and cognitive problems could be related to cerebrovascular disease.
General symptoms as seen in Alzheimer’s disease may be noted
Specific features include:
- Mild to severe Depression
- Weakness of limbs and movement difficulties
- Bladder and bowel control can be lost
- Speech and language difficulties
Behavioural problems:
- Anger, agitation
- Psychotic symptoms
- Laughing, crying inappropriately
- Problems following instructions, handling money
Mood and behavioural changes are more prominent in small vessel diseases like Binswanger’s, lacunar disease

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