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Updated: Apr 6, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Recent progress on small vessel disease with cognitive impairment
Li Gong1, Xue-Yuan Liu1, Min Fang1
1Department of Neurology, Shanghai Tenth People Hospital, Tongji University, School of Medicine China.
Early diagnosis of vascular cognitive impairment (VCI) is crucial for preventing vascular dementia (VaD). This review covers VCI pathophysiology, biomarkers, and treatments for better outcomes.
Area of Science:
- Neurology
- Neuroscience
- Internal Medicine
Background:
- Vascular cognitive impairment (VCI) encompasses cognitive deficits resulting from cerebrovascular diseases.
- Early detection and intervention are key to managing VCI and preventing progression to vascular dementia (VaD).
Purpose of the Study:
- To review current research on the pathophysiology of VCI.
- To summarize advancements in VCI biomarkers for early diagnosis.
- To discuss therapeutic strategies for managing VCI.
Main Methods:
- Literature review of recent studies on VCI.
- Analysis of research on VCI pathophysiology and vascular factors.
- Synthesis of data on diagnostic biomarkers and treatment options for VCI.
Main Results:
- VCI presents with varying degrees of cognitive dysfunction due to vascular factors.
- Understanding pathophysiology aids in identifying therapeutic targets.
- Emerging biomarkers show promise for early VCI detection.
Conclusions:
- VCI management requires a multi-faceted approach.
- Further research into pathophysiology and biomarkers can improve VCI outcomes.
- Timely intervention can mitigate cognitive decline and potentially reverse impairment.
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