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Vascular cognitive disorder: a new diagnostic category updating vascular cognitive impairment and vascular dementia

Identifieur interne : 004B86 ( PascalFrancis/Corpus ); précédent : 004B85; suivant : 004B87

Vascular cognitive disorder: a new diagnostic category updating vascular cognitive impairment and vascular dementia

Auteurs : Gustavo C. Roman ; Perminder Sachdev ; Donald R. Royall ; Roger A. Bullock ; Jean-Marc Orgogozo ; Secundino Lopez-Pousa ; Raul Arizaga ; Anders Wallin

Source :

RBID : Pascal:05-0011784

Descripteurs français

English descriptors

Abstract

Vascular cognitive impairment (VCI) was proposed as an umbrella term to include subjects affected with any degree of cognitive impairment resulting from cerebrovascular disease (CVD), ranging from mild cognitive impairment (MCI) to vascular dementia. VCI may or may not exclude the host of "focal" circumscribed impairments of specialized functions such as language (aphasia), intentional gesture (apraxia), or categorical recognition (agnosia), among others, that may result from a stroke. Therefore, there are no universally accepted diagnostic criteria for VCI. We conclude that this concept could be more useful if it were to be limited to cases of vascular MCI without dementia, by analogy with the concept of amnestic MCI, currently considered the earliest clinically diagnosable stage of Alzheimer disease (AD). In agreement with our view, the Canadian Study on Health and Aging successfully implemented a restricted definition of VCI, excluding cases of dementia (i.e., vascular cognitive impairment no dementia, VCI-ND). The Canadian definition and diagnostic criteria could be utilized for future studies of VCI. This definition excludes isolated impairments of specialized cognitive functions. Vascular dementia (VaD): The main problem of this diagnostic category stems from the currently accepted definition of dementia that requires memory loss as the sine qua non for the diagnosis. This may result in over-sampling of patients with AD worsened by stroke (AD+CVD). This problem was minimized in controlled clinical trials of VaD by excluding patients with a prior diagnosis of AD, those with pre-existing memory loss before the index stroke, and those with amnestic MCI. We propose a definition of dementia in VaD based on presence of abnormal executive control function, severe enough to interfere with social or occupational functioning. Vascular cognitive disorder (VCD): This term, proposed by Sachdev [P. Sachdev, Vascular cognitive disorder. Int J Geriat Psychiatry 14 (1999) 402-403. would become the global diagnostic category for cognitive impairment of vascular origin, ranging from VCI to VaD. It would include specific disease entities such as post-stroke VCI, post-stroke VaD, CADASIL, Binswanger disease, and AD plus CVD. This category explicitly excludes isolated cognitive dysfunctions such as those mentioned above.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0022-510X
A02 01      @0 JNSCAG
A03   1    @0 J. neurol. sci.
A05       @2 226
A06       @2 1-2
A08 01  1  ENG  @1 Vascular cognitive disorder: a new diagnostic category updating vascular cognitive impairment and vascular dementia
A09 01  1  ENG  @1 Proceedings of the First Congress of the International Society for Vascular Behavioural and Cognitive Disorders (VAS-COG 2003)
A11 01  1    @1 ROMAN (Gustavo C.)
A11 02  1    @1 SACHDEV (Perminder)
A11 03  1    @1 ROYALL (Donald R.)
A11 04  1    @1 BULLOCK (Roger A.)
A11 05  1    @1 ORGOGOZO (Jean-Marc)
A11 06  1    @1 LOPEZ-POUSA (Secundino)
A11 07  1    @1 ARIZAGA (Raul)
A11 08  1    @1 WALLIN (Anders)
A12 01  1    @1 ROMAN (Gustavo C.) @9 ed.
A12 02  1    @1 WALLIN (Anders) @9 ed.
A12 03  1    @1 SKOOG (Ingmar) @9 ed.
A12 04  1    @1 KALARIA (Raj N.) @9 ed.
A14 01      @1 Department of Medicine/Neurology, University of Texas HSC at San Antonio and the Audie Murphy Veterans Administration Hospital, Mail Code 7883, 7703 Floyd Curl Drive @2 San Antonio, TX 78229-3900 @3 USA @Z 1 aut.
A14 02      @1 School of Psychiatry, University of New South Wales: Neuropsychiatric Institute, the Prince of Wales Hospital @2 Sydney @3 AUS @Z 2 aut.
A14 03      @1 Departments of Psychiatry, Medicine, and Pharmacology, University of Texas HSC at San Antonio and the Audio Murphy Veterans Administration Hospital @2 San Antonio, TX @3 USA @Z 3 aut.
A14 04      @1 Kingshill Research Centre, Victoria Hospital @2 Swindon @3 GBR @Z 4 aut.
A14 05      @1 CHU Pellegrin @2 Bordeaux @3 FRA @Z 5 aut.
A14 06      @1 Memory and Dementia Unit, Hospital Santa Caterina @2 Girona @3 ESP @Z 6 aut.
A14 07      @1 Memory Disorders Research Center and Neuroepidemiology Branch, National Institute of Social Services for Retirees @2 Buenos Aires @3 ARG @Z 7 aut.
A14 08      @1 Institute of Clinical Neuroscience, Sahlgrenska University Hospital @2 Molndal @3 SWE @Z 8 aut.
A15 01      @1 Department of Medicine, Division of Neurology, University of Texas, Health Science Center at San Antonio, Mail Code 7883, 7703 Floyd Curl Drive @2 San Antonio, TX 78229-3900 @3 USA @Z 1 aut.
A15 02      @1 Institute of Clinical Neuroscience, Sahlgrenska University Hospital @2 43180 Mölndal @3 SWE @Z 2 aut. @Z 3 aut.
A15 03      @1 Institute for Ageing and Health, Wolfson Centre, Newcastle General Hospital, Westgate Road @2 Newcastle upon Tyne NE4 6BE @3 GBR @Z 4 aut.
A18 01  1    @1 International Society for Vascular Behavioural and Cognitive Disorders @3 INT @9 patr.
A20       @1 81-87
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 12185 @5 354000122640170170
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 50 ref.
A47 01  1    @0 05-0011784
A60       @1 P @2 C
A61       @0 A
A64 01  1    @0 Journal of the neurological sciences
A66 01      @0 IRL
C01 01    ENG  @0 Vascular cognitive impairment (VCI) was proposed as an umbrella term to include subjects affected with any degree of cognitive impairment resulting from cerebrovascular disease (CVD), ranging from mild cognitive impairment (MCI) to vascular dementia. VCI may or may not exclude the host of "focal" circumscribed impairments of specialized functions such as language (aphasia), intentional gesture (apraxia), or categorical recognition (agnosia), among others, that may result from a stroke. Therefore, there are no universally accepted diagnostic criteria for VCI. We conclude that this concept could be more useful if it were to be limited to cases of vascular MCI without dementia, by analogy with the concept of amnestic MCI, currently considered the earliest clinically diagnosable stage of Alzheimer disease (AD). In agreement with our view, the Canadian Study on Health and Aging successfully implemented a restricted definition of VCI, excluding cases of dementia (i.e., vascular cognitive impairment no dementia, VCI-ND). The Canadian definition and diagnostic criteria could be utilized for future studies of VCI. This definition excludes isolated impairments of specialized cognitive functions. Vascular dementia (VaD): The main problem of this diagnostic category stems from the currently accepted definition of dementia that requires memory loss as the sine qua non for the diagnosis. This may result in over-sampling of patients with AD worsened by stroke (AD+CVD). This problem was minimized in controlled clinical trials of VaD by excluding patients with a prior diagnosis of AD, those with pre-existing memory loss before the index stroke, and those with amnestic MCI. We propose a definition of dementia in VaD based on presence of abnormal executive control function, severe enough to interfere with social or occupational functioning. Vascular cognitive disorder (VCD): This term, proposed by Sachdev [P. Sachdev, Vascular cognitive disorder. Int J Geriat Psychiatry 14 (1999) 402-403. would become the global diagnostic category for cognitive impairment of vascular origin, ranging from VCI to VaD. It would include specific disease entities such as post-stroke VCI, post-stroke VaD, CADASIL, Binswanger disease, and AD plus CVD. This category explicitly excludes isolated cognitive dysfunctions such as those mentioned above.
C02 01  X    @0 002B17
C02 02  X    @0 002B17C
C02 03  X    @0 002B17A02
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Diagnostic @5 02
C03 02  X  ENG  @0 Diagnosis @5 02
C03 02  X  SPA  @0 Diagnóstico @5 02
C03 03  X  FRE  @0 Mise à jour @5 03
C03 03  X  ENG  @0 Updating @5 03
C03 03  X  SPA  @0 Actualización @5 03
C03 04  X  FRE  @0 Trouble cognition @5 04
C03 04  X  ENG  @0 Cognitive disorder @5 04
C03 04  X  SPA  @0 Trastorno cognitivo @5 04
C03 05  X  FRE  @0 Sénescence @5 05
C03 05  X  ENG  @0 Senescence @5 05
C03 05  X  SPA  @0 Senescencia @5 05
C03 06  X  FRE  @0 Cognition @5 06
C03 06  X  ENG  @0 Cognition @5 06
C03 06  X  SPA  @0 Cognición @5 06
C03 07  X  FRE  @0 Démence vasculaire @2 NM @5 07
C03 07  X  ENG  @0 Vascular dementia @2 NM @5 07
C03 07  X  SPA  @0 Demencia vascular @2 NM @5 07
C03 08  X  FRE  @0 Cérébrovasculaire pathologie @5 10
C03 08  X  ENG  @0 Cerebrovascular disease @5 10
C03 08  X  SPA  @0 Vaso sanguíneo encéfalo patología @5 10
C07 01  X  FRE  @0 Système nerveux central pathologie @5 37
C07 01  X  ENG  @0 Central nervous system disease @5 37
C07 01  X  SPA  @0 Sistema nervosio central patología @5 37
C07 02  X  FRE  @0 Encéphale pathologie @5 38
C07 02  X  ENG  @0 Cerebral disorder @5 38
C07 02  X  SPA  @0 Encéfalo patología @5 38
N21       @1 004
N44 01      @1 OTO
N82       @1 OTO
pR  
A30 01  1  ENG  @1 VAS-COG 2003 Congress of the International Society for Vascular Behavioural and Cognitive Disorders @2 1 @3 Göteborg SWE @4 2003-08-28

Format Inist (serveur)

NO : PASCAL 05-0011784 INIST
ET : Vascular cognitive disorder: a new diagnostic category updating vascular cognitive impairment and vascular dementia
AU : ROMAN (Gustavo C.); SACHDEV (Perminder); ROYALL (Donald R.); BULLOCK (Roger A.); ORGOGOZO (Jean-Marc); LOPEZ-POUSA (Secundino); ARIZAGA (Raul); WALLIN (Anders); ROMAN (Gustavo C.); WALLIN (Anders); SKOOG (Ingmar); KALARIA (Raj N.)
AF : Department of Medicine/Neurology, University of Texas HSC at San Antonio and the Audie Murphy Veterans Administration Hospital, Mail Code 7883, 7703 Floyd Curl Drive/San Antonio, TX 78229-3900/Etats-Unis (1 aut.); School of Psychiatry, University of New South Wales: Neuropsychiatric Institute, the Prince of Wales Hospital/Sydney/Australie (2 aut.); Departments of Psychiatry, Medicine, and Pharmacology, University of Texas HSC at San Antonio and the Audio Murphy Veterans Administration Hospital/San Antonio, TX/Etats-Unis (3 aut.); Kingshill Research Centre, Victoria Hospital/Swindon/Royaume-Uni (4 aut.); CHU Pellegrin/Bordeaux/France (5 aut.); Memory and Dementia Unit, Hospital Santa Caterina/Girona/Espagne (6 aut.); Memory Disorders Research Center and Neuroepidemiology Branch, National Institute of Social Services for Retirees/Buenos Aires/Argentine (7 aut.); Institute of Clinical Neuroscience, Sahlgrenska University Hospital/Molndal/Suède (8 aut.); Department of Medicine, Division of Neurology, University of Texas, Health Science Center at San Antonio, Mail Code 7883, 7703 Floyd Curl Drive/San Antonio, TX 78229-3900/Etats-Unis (1 aut.); Institute of Clinical Neuroscience, Sahlgrenska University Hospital/43180 Mölndal/Suède (2 aut., 3 aut.); Institute for Ageing and Health, Wolfson Centre, Newcastle General Hospital, Westgate Road/Newcastle upon Tyne NE4 6BE/Royaume-Uni (4 aut.)
DT : Publication en série; Congrès; Niveau analytique
SO : Journal of the neurological sciences; ISSN 0022-510X; Coden JNSCAG; Irlande; Da. 2004; Vol. 226; No. 1-2; Pp. 81-87; Bibl. 50 ref.
LA : Anglais
EA : Vascular cognitive impairment (VCI) was proposed as an umbrella term to include subjects affected with any degree of cognitive impairment resulting from cerebrovascular disease (CVD), ranging from mild cognitive impairment (MCI) to vascular dementia. VCI may or may not exclude the host of "focal" circumscribed impairments of specialized functions such as language (aphasia), intentional gesture (apraxia), or categorical recognition (agnosia), among others, that may result from a stroke. Therefore, there are no universally accepted diagnostic criteria for VCI. We conclude that this concept could be more useful if it were to be limited to cases of vascular MCI without dementia, by analogy with the concept of amnestic MCI, currently considered the earliest clinically diagnosable stage of Alzheimer disease (AD). In agreement with our view, the Canadian Study on Health and Aging successfully implemented a restricted definition of VCI, excluding cases of dementia (i.e., vascular cognitive impairment no dementia, VCI-ND). The Canadian definition and diagnostic criteria could be utilized for future studies of VCI. This definition excludes isolated impairments of specialized cognitive functions. Vascular dementia (VaD): The main problem of this diagnostic category stems from the currently accepted definition of dementia that requires memory loss as the sine qua non for the diagnosis. This may result in over-sampling of patients with AD worsened by stroke (AD+CVD). This problem was minimized in controlled clinical trials of VaD by excluding patients with a prior diagnosis of AD, those with pre-existing memory loss before the index stroke, and those with amnestic MCI. We propose a definition of dementia in VaD based on presence of abnormal executive control function, severe enough to interfere with social or occupational functioning. Vascular cognitive disorder (VCD): This term, proposed by Sachdev [P. Sachdev, Vascular cognitive disorder. Int J Geriat Psychiatry 14 (1999) 402-403. would become the global diagnostic category for cognitive impairment of vascular origin, ranging from VCI to VaD. It would include specific disease entities such as post-stroke VCI, post-stroke VaD, CADASIL, Binswanger disease, and AD plus CVD. This category explicitly excludes isolated cognitive dysfunctions such as those mentioned above.
CC : 002B17; 002B17C; 002B17A02
FD : Système nerveux pathologie; Diagnostic; Mise à jour; Trouble cognition; Sénescence; Cognition; Démence vasculaire; Cérébrovasculaire pathologie
FG : Système nerveux central pathologie; Encéphale pathologie
ED : Nervous system diseases; Diagnosis; Updating; Cognitive disorder; Senescence; Cognition; Vascular dementia; Cerebrovascular disease
EG : Central nervous system disease; Cerebral disorder
SD : Sistema nervioso patología; Diagnóstico; Actualización; Trastorno cognitivo; Senescencia; Cognición; Demencia vascular; Vaso sanguíneo encéfalo patología
LO : INIST-12185.354000122640170170
ID : 05-0011784

Links to Exploration step

Pascal:05-0011784

Le document en format XML

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<div type="abstract" xml:lang="en">Vascular cognitive impairment (VCI) was proposed as an umbrella term to include subjects affected with any degree of cognitive impairment resulting from cerebrovascular disease (CVD), ranging from mild cognitive impairment (MCI) to vascular dementia. VCI may or may not exclude the host of "focal" circumscribed impairments of specialized functions such as language (aphasia), intentional gesture (apraxia), or categorical recognition (agnosia), among others, that may result from a stroke. Therefore, there are no universally accepted diagnostic criteria for VCI. We conclude that this concept could be more useful if it were to be limited to cases of vascular MCI without dementia, by analogy with the concept of amnestic MCI, currently considered the earliest clinically diagnosable stage of Alzheimer disease (AD). In agreement with our view, the Canadian Study on Health and Aging successfully implemented a restricted definition of VCI, excluding cases of dementia (i.e., vascular cognitive impairment no dementia, VCI-ND). The Canadian definition and diagnostic criteria could be utilized for future studies of VCI. This definition excludes isolated impairments of specialized cognitive functions. Vascular dementia (VaD): The main problem of this diagnostic category stems from the currently accepted definition of dementia that requires memory loss as the sine qua non for the diagnosis. This may result in over-sampling of patients with AD worsened by stroke (AD+CVD). This problem was minimized in controlled clinical trials of VaD by excluding patients with a prior diagnosis of AD, those with pre-existing memory loss before the index stroke, and those with amnestic MCI. We propose a definition of dementia in VaD based on presence of abnormal executive control function, severe enough to interfere with social or occupational functioning. Vascular cognitive disorder (VCD): This term, proposed by Sachdev [P. Sachdev, Vascular cognitive disorder. Int J Geriat Psychiatry 14 (1999) 402-403. would become the global diagnostic category for cognitive impairment of vascular origin, ranging from VCI to VaD. It would include specific disease entities such as post-stroke VCI, post-stroke VaD, CADASIL, Binswanger disease, and AD plus CVD. This category explicitly excludes isolated cognitive dysfunctions such as those mentioned above.</div>
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<EA>Vascular cognitive impairment (VCI) was proposed as an umbrella term to include subjects affected with any degree of cognitive impairment resulting from cerebrovascular disease (CVD), ranging from mild cognitive impairment (MCI) to vascular dementia. VCI may or may not exclude the host of "focal" circumscribed impairments of specialized functions such as language (aphasia), intentional gesture (apraxia), or categorical recognition (agnosia), among others, that may result from a stroke. Therefore, there are no universally accepted diagnostic criteria for VCI. We conclude that this concept could be more useful if it were to be limited to cases of vascular MCI without dementia, by analogy with the concept of amnestic MCI, currently considered the earliest clinically diagnosable stage of Alzheimer disease (AD). In agreement with our view, the Canadian Study on Health and Aging successfully implemented a restricted definition of VCI, excluding cases of dementia (i.e., vascular cognitive impairment no dementia, VCI-ND). The Canadian definition and diagnostic criteria could be utilized for future studies of VCI. This definition excludes isolated impairments of specialized cognitive functions. Vascular dementia (VaD): The main problem of this diagnostic category stems from the currently accepted definition of dementia that requires memory loss as the sine qua non for the diagnosis. This may result in over-sampling of patients with AD worsened by stroke (AD+CVD). This problem was minimized in controlled clinical trials of VaD by excluding patients with a prior diagnosis of AD, those with pre-existing memory loss before the index stroke, and those with amnestic MCI. We propose a definition of dementia in VaD based on presence of abnormal executive control function, severe enough to interfere with social or occupational functioning. Vascular cognitive disorder (VCD): This term, proposed by Sachdev [P. Sachdev, Vascular cognitive disorder. Int J Geriat Psychiatry 14 (1999) 402-403. would become the global diagnostic category for cognitive impairment of vascular origin, ranging from VCI to VaD. It would include specific disease entities such as post-stroke VCI, post-stroke VaD, CADASIL, Binswanger disease, and AD plus CVD. This category explicitly excludes isolated cognitive dysfunctions such as those mentioned above.</EA>
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