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Diagnosis and Treatment of Subcortical Ischemic …

4 The Canadian Review of Alzheimer s Disease and Other DementiasVascular DementiaApoplectic dementia was theterm utilized in the past whenpatients presented with suddencerebral bleeding, softening ortumors that resulted in an abruptchange in cognition, which couldbe progressive and incurable. Inthe early 1900s, it was widelyaccepted that atherosclerosiscaused gradual stenosis of thebrain vessels, causing paren chy-mal lesions that lead to , the differentiation bet -ween other dementias and VADwere not clear, and the associationbetween clinical strokes and cogni-tive changes were not firmly estab-lished. Har dening of the arterieswas a term applied to a number ofdifferent dementia syndromes, in -cluding at times, and erroneously,Alzheimer s disease (AD).

6 † The Canadian Review of Alzheimer’s Disease and Other Dementias Vascular Dementia palsy, and gait disturbances. The neurobehavioral symptoms inclu -

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