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Updated: Mar 26, 2026

Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
A synopsis on the linkage between age-related dementias and vascular disorders
Sandesh Chibber, Athanasios Alexiou, Mohammed Nabil Alama
1King Fahd Medical Research Center, King Abdulaziz University, P. O. Box 80216, Jeddah 21589, Saudi Arabia. gashraf@kau.edu.sa.
Insights
This review covers causes, consequences, and prevention of age-related dementias and vascular disorders. It highlights genetic factors in vascular cognitive impairment and post-stroke dementia, offering hope for early intervention.
Area of Science:
- Neurology
- Geriatrics
- Pathology
Background:
- Age-related dementias and vascular disorders have been recognized for over a century.
- Understanding their etiology, consequences, and treatment/prevention bases is crucial.
- Vascular dementia is a complex group of conditions, not a single disease.
Purpose of the Study:
- To review the causes, consequences, and prevention strategies for age-related dementias and vascular disorders.
- To explore genetic factors in vascular cognitive impairment and post-stroke dementia, linking them to Alzheimer's disease.
- To update diagnostic categories and clinical parameters for age-related dementia disorders.
Main Methods:
- Systematic review of existing literature on dementia and vascular disorders.
- Analysis of etiological factors, including genetic predispositions.
- Examination of pathophysiological mechanisms and clinical presentations.
- Standardized documentation of demographic data for age-related dementia disorders.
Main Results:
- Vascular dementia encompasses diverse pathological correlations and pathophysiological mechanisms.
- Genetic factors are increasingly recognized as significant in vascular cognitive impairment and post-stroke dementia.
- Heterogeneous pathophysiological mechanisms lead to varied clinical presentations.
- Current diagnostic categories and clinical parameters are being refined based on recent studies.
Conclusions:
- Effective treatment and prevention of age-related dementias and vascular disorders require a comprehensive understanding of their complex etiologies.
- Focusing on genetic factors offers promising avenues for early prevention and treatment of vascular cognitive impairment and post-stroke dementia.
- Standardized diagnostic approaches and clinical parameter documentation are essential for managing these heterogeneous conditions.
Abstract:
The concept of age-related dementias and vascular disorders has now been recognized for over a century. In the present review, we have emphasized on the causes, consequences and the true bases for the treatment and prevention of these disorders. Systematic efforts have been put together to identify the aetiology in each case. Increased efforts have been targeted towards the concept and genetic factors responsible for vascular cognitive impairment and post-stroke dementia in relation with Alzheimer's disease, which is a consequence of age-related dementia, especially as they hold promise for early prevention and treatment. It has now been well accepted that vascular dementia is not a single disease but a group of conditions with different pathological correlations and pathophysiological mechanisms. The present review represents an amalgamation of several pathophysiological mechanisms producing a very heterogeneous clinical presentation for developing such consequences. We suggest current diagnostic categories and describe clinical parameters according to recently reported studies that document the demographic data in a standardized manner for age-related dementia disorders.
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