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  Vol. 61 No. 3, March 2004 TABLE OF CONTENTS
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  History of Neurology: Seminal Citations
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Vascular Dementia

Bruce R. Reed, PhD

Arch Neurol. 2004;61:433-435.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Cerebrovascular disease is currently viewed as a distinctly secondary cause of dementia that is of uncertain importance. Although it is commonly cited as the second leading cause of dementia, a lack of well-validated diagnostic criteria, which in turn reflects important gaps in fundamental knowledge about disease mechanisms, makes accurate epidemiology difficult. Two basic facts about vascular dementia share wide consensus. First, it is a disorder in which the pathologic features vary, spanning a wide spectrum in terms of type (from microscopic infarction to infarcts that derive from occlusion of major arteries) and location. Second, the pathologies of cerebrovascular disease and Alzheimer disease (AD) commonly co-occur, the latter being the usual primary cause of the cognitive and functional symptoms of these patients. Indeed, AD, as the predominant cause of dementia in North America and Europe, defines the backdrop against which research on vascular dementia proceeds. There is . . . [Full Text of this Article]

EARLY DESCRIPTION

A DISEASE IS PROPOSED

FURTHER CONTRIBUTIONS

From the Alzheimer's Disease Center, University of California, Davis.







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