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Diagnostic criteria for vascular cognitive disorders: a VASCOG statement

Identifieur interne : 003A38 ( Main/Exploration ); précédent : 003A37; suivant : 003A39

Diagnostic criteria for vascular cognitive disorders: a VASCOG statement

Auteurs : Perminder Sachdev ; Raj Kalaria ; John O Rien ; Ingmar Skoog ; Suvarna Alladi ; Sandra E. Black ; Deborah Blacker ; Dan Blazer ; Christopher Chen ; Helena Chui ; Mary Ganguli ; Kurt Jellinger ; Dilip V. Jeste ; Florence Pasquier ; Jane Paulsen ; Niels Prins ; Kenneth Rockwood ; Gustavo Roman ; Philip Scheltens

Source :

RBID : PMC:4139434

Descripteurs français

English descriptors

Abstract

Background

Several sets of diagnostic criteria have been published for vascular dementia (VaD) since the 1960s. The continuing ambiguity in VaD definition warrants a critical re-examination.

Methods

Participants at a special symposium of the International Society for Vascular Behavioral and Cognitive Disorders (VASCOG) in 2009 critiqued the current criteria. They drafted a proposal for a new set of criteria, later reviewed through multiple drafts by the group, including additional experts and the members of the Neurocognitive Disorders Work Group of the DSM-5 Task Force.

Results

Cognitive disorders of vascular etiology are a heterogeneous group of disorders with diverse pathologies and clinical manifestations, discussed broadly under the rubric of vascular cognitive disorders (VCD). The continuum of vascular cognitive impairment is recognized by the categories of Mild Vascular Cognitive Disorder, and Vascular Dementia or Major Vascular Cognitive Disorder. Diagnostic thresholds are defined. Clinical and neuroimaging criteria are proposed for establishing vascular etiology. Subtypes of VCD are described, and the frequent co-occurrence of Alzheimer’s disease pathology emphasized.

Conclusions

The proposed criteria for VCD provide a coherent approach to the diagnosis of this diverse group of disorders, with a view to stimulating clinical and pathological validation studies. These criteria can be harmonized with the DSM-5 criteria such that an international consensus on the criteria for VCD may be achieved.


Url:
DOI: 10.1097/WAD.0000000000000034
PubMed: 24632990
PubMed Central: 4139434


Affiliations:


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