Vascular dementia

Neurodegenerative disorder that occurs as a result of circulatory disorders in the brain. The main cause is vascular damage caused by strokes, micro-strokes, or chronic ischemia.
Vascular dementia ranks second among all forms of dementia. It develops against the background of insufficient blood supply to the brain, which leads to the death of neurons and a decrease in cognitive abilities. The disease can progress either gradually, due to a multitude of minor strokes, or abruptly — after one or more major vascular disasters. A distinctive feature of vascular dementia is the high variability of symptoms depending on the location of the affected areas of the brain. When the anterior lobes are affected, problems with concentration and action planning prevail, when subcortical structures are affected, motor activity is impaired, and when the temporal regions are affected, memory suffers.

Reasons

Multiple micro strokes

Extensive strokes

Atherosclerosis

Chronic hypertension

Diabetes mellitus

Atrial fibrillation

High cholesterol levels

Smoking and alcohol abuse

Diseases that increase blood clotting and the risk of thrombosis

Symptoms

Memory impairment, especially in response to recent events

Difficulties in planning and organizing daily tasks

Slow thinking and difficulty concentrating

Tendency to sudden emotional swings, depression, apathy

Speech problems (slow or indistinct speech, difficulty finding words)

Loss of orientation in space, difficulty in navigation

Muscle weakness, unsteady gait, coordination disorders

Urinary incontinence caused by a violation of control over physiological processes

Episodes of uncontrollable laughing or crying for no apparent reason

Consequences

Vascular dementia progresses in stages, with dramatic worsening after new strokes. In the later stages, patients lose the ability to self-care, and patients need constant help. Cognitive impairments are accompanied by severe motor disorders.

Treatment

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Conservative treatment
Risk factor control is a key aspect of therapy. The patient is prescribed medication to normalize blood pressure, cholesterol levels, blood clotting and control sugar levels in diabetes. Medications can be used to maintain cognitive function, as well as to correct anxiety and depression. Lifestyle correction is an important element of treatment. Patients are recommended moderate physical activity, intellectual stimulation (reading, games, puzzles) and a balanced diet with an emphasis on omega-3 fatty acids and antioxidants.
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Surgical treatment
Surgical methods for vascular dementia are used in rare cases when it is necessary to restore blood flow in the vessels of the brain. The following interventions are possible: — Carotid endartherectomy – removal of atherosclerotic plaque from the carotid artery to improve blood supply to the brain. — Angioplasty and stenting – dilation of a narrowed vessel with the installation of a stent that prevents repeated narrowing. — Bypass surgery of the brain vessels – creating bypass routes for blood flow in severe arterial occlusion. These methods do not treat dementia, but they can slow its progression, reducing the risk of new strokes.

How to reach

Olymp Clinic MARS
Children's clinic Olymp Clinic MARS
Worktime
Mon–Sun Around the clock
Now is opened
Address
Moscow, 1st Yamskogo Polya Street, 15
  • Route from exit 4 of the «Belorusskaya» metro station
  • Route from exit 2 of the «Belorusskaya» metro station
Route

How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Read full
Travel time

9 minutes

Landmark

Olympus Clinic MARS sign

How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Read full
Travel time

11 minutes

Landmark

Olympus Clinic MARS sign

Схема проезда к парковке

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Worktime
Mon–Sun Around the clock
Now is opened
Address
Moscow, 1st Yamskogo Polya Street, 15/4
  • Route from exit 4 of the «Belorusskaya» metro station
  • Route from exit 2 of the «Belorusskaya» metro station
Route

How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Read full
Travel time

9 minutes

Landmark

Olympus Clinic MARS sign

How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Read full
Travel time

11 minutes

Landmark

Olympus Clinic MARS sign

Схема проезда к парковке

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic