What are the complications of vascular dementia?

Updated: Mar 26, 2018
  • Author: Kannayiram Alagiakrishnan, MD, MBBS, MPH, MHA; Chief Editor: Glen L Xiong, MD  more...
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See the list below:

  • Behavioral problems, including wandering, delusions, hallucinations, and poor judgment

  • Depression

  • Falls and gait abnormality

  • Aspiration pneumonia

  • Decubitus ulcers

  • Caregiver burden and stress: This should be considered a complication of any dementia, including vascular dementia. This can lead to increased psychiatric and medical morbidity in the caregiver.

  • Syndrome of delayed posthypoxic leukoencephalopathy (DPHL): Patients who had a period of prolonged hypoxia secondary to cardiac arrest can develop neuropsychiatric complications. It is a demyelinating syndrome and a slow gradual recovery can happen over a 3- to 12-month period. Neuroimaging can show diffuse demyelination sparing cerebellum and brain stem. In some patients, cognitive impairment, especially with domains of attention and executive function, can be permanent. [30]

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