View source for STROKE-VASCULAR COGNITIVE IMPAIRMENT (VCI)

===== [[Summary Article|'''SUMMARY''']] =====
1. VCI includes a spectrum of diseases from mild cognitive impairment to vascular dementia.
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<br/>2. Stroke tends to have greater impact on <i>attention, executive function, cognitive slowing than memory</i> (Cumming et al. 2013).
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<br/>3. Etiology: cortical/subcortical infracts, small-vessel disease with white-matter lesions, lacunae and ICH.
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<br/>4. Diffuse dysfunction results from underlying sub-clinical disease, such as white matter disease, or an accumulation of small infarcts in small-vessel disease (Pantoni 2010). 
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<br/>5. Higher load of white matter hyperintensities (WMHs) is strongly associated with dementia and cognitive decline (Dufouil et al. 2009).


==Reference(s)==
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Stroke]]
[[Category:Neurology]]
[[Category:Medicine]]