![]() ![]() There is brain imaging evidence, usually with magnetic resonance imaging (MRI), confirming:.The diagnosis of dementia or mild cognitive impairment is confirmed by neurocognitive testing, which involves several hours of written or computerized tests that provide detailed evaluation of specific thinking skills such as judgment, planning, problem-solving, reasoning and memory.Under the diagnostic approach recommended in the 2011 statement, the following criteria suggest the greatest likelihood of mild cognitive impairment (MCI) or dementia is caused by vascular changes: The goals of the statement, which include practice recommendations, are to raise awareness of the importance of vascular factors in cognitive change, increase diagnostic consistency and accelerate research. The Alzheimer’s Association participated in developing the statement, which is also endorsed by the American Academy of Neurology. In 2011, the American Heart Association and American Stroke Association issued a joint scientific statement on vascular contributions to mild cognitive impairment (MCI) and dementia. Learn more: Warning Signs from the American Stroke Association Diagnosisĭiagnostic guidelines for vascular dementia have used a range of definitions for dementia and various approaches to diagnosis. ![]() Common early signs of widespread small vessel disease include impaired planning and judgment, uncontrolled laughing and crying, declining ability to pay attention, impaired function in social situations, and difficulty finding the right words. Multiple small strokes or other conditions that affect blood vessels and nerve fibers deep inside the brain may cause more gradual thinking changes as damage accumulates.
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