Recent Updates on Subcortical Ischemic Vascular Dementia
Open accessAbstract
Vascular dementia (VaD) is a history-laden disease entity that dates back to the 19th century when arteriosclerotic brain atrophy due to hardening of the arteries was perceived as the major cause of senile dementia. Its existence had been overshadowed by the emergence of Alzheimer's disease (AD) in the past century and research on AD dominated the field of dementia. Interest in VaD has been revived in recent years as vascular lesions have been shown to make great contributions to the development of dementia, particularly in the elderly. VaD has now evolved into the concept of vascular cognitive impairment (VCI), which encompasses not only VaD but also AD with cerebrovascular disorder and VCI with no dementia. The concept of VCI is intended to maximize the therapeutic potential in dementia management because the vascular component may be amenable to therapeutic intervention particularly in the early stages of cognitive impairment. Subcortical ischemic vascular dementia (SIVD) is pathologically driven by severe stenosis and the occlusion of small vessels that culminate into white matter ischemia and multiple lacunar infarctions in the subcortical structures. The relatively slow progression of symptoms and clinical manifestations associated with cholinergic deficits often make the differentiation of SIVD from AD difficult. The recent development of in vivo amyloid imaging enabled further pathological breakdown of SIVD into pure SIVD and mixed dementia with subcortical ischemia based on the absence or existence of amyloid pathology in the brain. In this article, the authors reviewed the emerging concepts of VaD/VCI and the clinical manifestations, biomarkers, treatments, and preclinical models of SIVD based on the pathophysiologic mechanisms of the disease.
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The recent development of in vivo amyloid imaging enables further pathological breakdown of SVD into pure forms and mixed dementia based on the absence or presence of amyloid pathology in the brain.
“The recent development of in vivo amyloid imaging enables further pathological breakdown of SVD into pure forms and mixed dementia based on the absence or presence of amyloid pathology in the brain [194].”
From The overlap between vascular disease and Alzheimer’s disease - lessons from pathology (2014) · cites this paper as [194]
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- Authors
- Roh, J. H., & Lee, J.-H.
- Affiliations
- Asan Medical Center (KR)
- Corresponding author
- Lee, Jae-Hong
- Venue
- Journal of Stroke
- Publisher
- Korean Stroke Society
- Published
- 2014
- Volume
- 16
- Issue
- 1
- Pages
- 18
- ISSN
- 2287-6391 (ISSN-L)
- 2287-6405
- PMC
- PMC3961819
- OpenAlex
- W2119017540
- Cited by
- 93
- References
- 70
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 5 · 2018: 12 · 2017: 7 · 2016: 7 · 2015: 14 · 2014: 6
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Stroke (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Research Foundation
- Ministry of Science, ICT and Future Planning (2013R1A1A1012925, 2008-0062286)
- Korea Institute of Science and Technology
- National Research Foundation of Korea (2008-0062286)
- Medical Research Council (2008-0062286)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Cerebrovascular and genetic disorders
- Keywords
- subcortical vascular dementia, vascular dementia, vascular cognitive impairment, Alzheimer's disease, mixed dementia, white matter ischemia, lacunar infarction, cerebral small vessel disease, cholinergic deficit, amyloid imaging, biomarkers, dementia treatment, preclinical models, pathophysiology
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