Related Experiment Video
Updated: Aug 7, 2026

A Visual Approach for Inducing Dolichoectasia in Mice to Model Large Vessel-Mediated Cerebrovascular Dysfunction
Published on: May 17, 2024
Dementia with cerebrovascular disease
Clinton B Wright1, Jean Paul G Vonsattel, Karen Bell
1Columbia University College of Physicians and Surgeons, Department of Neurology, New York, NY 10032, USA. CWright@neuro.columbia.edu
Insights
This case study examines a woman with dementia, highlighting significant cerebrovascular disease contributions. Mixed dementia, involving Alzheimer's disease and vascular factors, is discussed.
Area of Science:
- Neuropathology
- Neurodegenerative Diseases
- Cognitive Disorders
Background:
- This case study reviews a patient with dementia, focusing on neuropathological findings.
- The study investigates the interplay between cerebrovascular disease and cognitive decline.
Observation:
- Neuropathological examination revealed a significant contribution of cerebrovascular disease to the patient's dementia.
- The case presents a complex picture of mixed dementia, with both Alzheimer's disease and vascular pathology.
Findings:
- Vascular dementia results from strokes, which can be clinically apparent or subclinical.
- Mixed dementia involves a combination of Alzheimer's disease and cerebrovascular pathology, impacting cognitive function.
Implications:
- Understanding the distinct contributions of vascular factors and Alzheimer's disease is crucial for diagnosing and managing dementia.
- This case underscores the importance of considering cerebrovascular disease in the differential diagnosis of dementia, particularly in mixed dementia presentations.
Abstract:
In this case study, we review the symptoms, cognitive testing, brain imaging, and brain pathology of a woman with dementia, for whom the neuropathological findings suggest a prominent contribution of cerebrovascular disease. Vascular dementia is the term commonly used for persons with dementia resulting from strokes, either clinically evident or subclinical "silent" events. "Mixed dementia" is the term used when there is an admixture of pathological findings related to Alzheimer's disease (AD) and cerebrovascular disease, as in this situation. In some cases of mixed dementia, the pathological involvement of AD may be the principal contributory cause of the cognitive symptoms, and in others, the vascular changes may give the greater contribution.
More Related Videos
05:12A Mouse Model for Vascular Cognitive Impairment and Dementia Based on Needle-guided Asymmetric Bilateral Common Carotid Artery Stenosis
Published on: November 22, 2024
07:30Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Related Concept Videos
Dementia l: Introduction
Dementia
The progression of dementia is generally gradual.
Alzheimer Disease l: Introduction
Alzheimer's Disease: Overview
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
Alzheimer's Disease: Treatment
Hemorrhagic Stroke ll: Pathophysiology