Vascular dementia is a dementia that is either caused by a stroke or occurs in the presence of diabetes, uncontrolled high blood pressure and heart disease, all of which can predispose one to stroke. Diagnosis is established by means of a careful history of the cause of illness and by interpreting brain scans. In vascular dementia the role of dementia specific treatment is less but the risk of depression and other mood disturbances is high and requires correct identification and management. Equally important is to control the risk factors of vascular disease such as weight, alcohol, smoking, high blood pressure and diabetes through appropriate medication and life style changes.
I can help to arrive at a clear diagnosis, assess risks comprehensively and increase your understanding of managing them adequately.
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Dementia with Lewy Body is more rare, but a rapidly progressing type of dementia. The patient may have hallucinations, confusion episodes interspersed with lucid intervals, falls and react badly to certain types of medication. Therefore it needs to be diagnosed correctly so that complications do not occur from psychotropic treatments given without careful screening.