Talk:Vascular dementia/Archive 1

Wiki Education Foundation-supported course assignment
This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Annak.med. Peer reviewers: Jrh334.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 12:16, 17 January 2022 (UTC)

Peer Review
Gross comments: 1. reorganize intro. I would have a couple sentences to define the concept. Then make a separate heading “Pathophysiology” that explains the different mechanisms. Right now the intro is long and unwieldy. 2. I would delete the fourth paragraph in signs and symptoms. Appears redundant. 3. rename "Cause" "pathophysiology" and move a lot of the concent in the intro related to this topic to here. 4. Move pathology up to "Cause"/"pathophysiology" section. 5. I would move epidemiology up to above signs and symptoms. 6. My organization would be as follows: Intro, Epidemiology, Pathophysiology/Cause, Signs and Symptoms, Diagnosis, Treatment, Prognosis, See also. Detail comments: 1. the first sentence is very long. I would re-organize it as: Vascular dementia, also known as multi-infarct dementia (MID) and vascular cognitive impairment(VCI), is a form of dementia caused by problems in the supply of blood to the brain. Often due to a series of minor strokes leading to stepwise cognitive decline. 2. can delete this sentence: The term refers to a syndrome consisting of a complex interaction of cerebrovascular disease and risk factors leading to changes in the brain structures (strokes, lesions), and resulting changes in cognition. 3. In Signs and symptoms: I would remove this sentence as it is redundant. “Alzheimer's dementia often co-occurs with vascular dementia.” - Jrh334 (talk) 19:46, 16 November 2015 (UTC)

Note
There is a discrepancy with this page and the page on Dementia with Lewy bodies. They both claim to be the second most frequently occurring dementia after Alzheimer's disease. —Preceding unsigned comment added by 207.112.39.48 (talk) 21:25, 16 June 2008 (UTC)


 * Seems to depend on how one defines vascular dementia. "Available data suggest that DLB is more common than pure vascular dementia but not more common than any vascular contribution to dementia." Is dementia with Lewy bodies the second most common cause of dementia? J Geriatr Psychiatry Neurol 15:4 pp. 182–7 (2002)  --Sjsilverman (talk) 23:52, 1 July 2008 (UTC)

The website of the Alzheimer's Society - which I am sure is a reliable source  - claims that vascular dementia is the SECOND most common type of dementia. It can be found on http://www.alzheimers.org.uk/site/scripts/documents_info.php?categoryID=200171&documentID=161&gclid=CKOAlunCo7ECFUdvfAod3Bwwgg. ACEOREVIVED (talk) 15:22, 18 July 2012 (UTC)

Prognosis/Signs & Symptoms Section
Based on my understanding of VaD, progression stops if the patient has no further strokes and/or if the VaD is caused by a single, isolated, stroke. Can someone verify this? If this is correct, it might be a good idea to mention this in the "prognosis" section or the "signs and symptoms" section. --88.97.20.224 (talk) 19:52, 21 April 2011 (UTC)

The opening sentence
The opening sentence says "multi-infarct dementia is one type of vascular dementia". By implication, therefore, there must be other types of vascular dementia, although I have long taken the terms "multi-infarct dementia" and "vascular dementia" to be synonyms. Can some one who knows about these things please clarify? ACEOREVIVED (talk) 10:56, 20 September 2011 (UTC)
 * Relatedly, Vascular dementia at present redirects here. Either the opening sentence is wrong, and needs to be changed, or vascular dementia should not redirect here.  --Keithonearth (talk) 06:18, 26 January 2012 (UTC)
 * This article goes on to discuss many other forms of vascular dementia briefly, it's just a mess really. There's some discussion in the article about Binswager's Disease about the historical issues with naming and classifying the various forms of dementia.  This article is really a mess.  Each form of vascular dementia needs its own page.
 * Mystic eye (talk) 17:02, 11 March 2012 (UTC)

This website   - http://www.alzheimers.org.uk/site/scripts/documents_info.php?categoryID=200171&documentID=161&gclid=CKOAlunCo7ECFUdvfAod3Bwwgg  (that of the Alzheimer's Organisation)  claims that vascular dementia may occur after after one obvious stroke, in which case it will be known as "single-infarct dementia". ACEOREVIVED (talk) 15:24, 18 July 2012 (UTC)

OK - so I have added that to the article now. ACEOREVIVED (talk) 10:19, 25 July 2012 (UTC)

Why the section on prognosis needs to be revised
"The prognosis for multi-infarct dementia is not very promising". This needs to be rewritten. Firstly, the style here is not very encyclopaedic. Secondly, it is a very misleading statement, as this dementia is not as degenerative as Alzheimer's disease. ACEOREVIVED (talk) 19:56, 22 February 2012 (UTC)

Indeed, this website:

http://www.alzheimers.org.uk/site/scripts/documents_info.php?categoryID=200171&documentID=161&gclid=CNfxysiaxK4CFeYhtAodDlEIXQ

says that this form of dementia normally follows a "stepped progression", i.e. it may remain steady for a time and then deteriorate. ACEOREVIVED (talk) 22:20, 29 February 2012 (UTC)

"difficulty shifting sets" needs plain English translation
"difficulty shifting sets" needs plain English translation — Preceding unsigned comment added by Ocdnctx (talk • contribs) 15:10, 16 August 2012 (UTC)
 * The day before yesterday I created a tiny section in the article "Cognitive flexibility" with a definition of set shifting. And now I put a wikilink to shifting sets. Do you think that'll do? (By the way, it would be great if you could expand this section)  Lova Falk     talk   18:21, 28 September 2012 (UTC)
 * Though this is a bit late in response, should the article use "difficulty shifting sets" or mention a decline in Cognitive flexibility? That is part and parcel of shifting sets, as it's part of the executive functioning, high order cognition systems of the the mind itself.Wzrd1 (talk) 03:07, 26 July 2013 (UTC)

Treatment w/ plamapheresis
I removed a paragraph added about treatment w/ plasmapheresis. This is certainly not a widely accepted treatment. Searching Pubmed for "vascular dementia" and "plamapheresis", prompts 6 hits, none of which really discuss this topic. Wawot1 (talk) 19:16, 27 September 2012 (UTC)

Caused by several strokes
This article does say that multi-infarct dementia is caused by several strokes and then it says it may be sometimes be caused by one stroke. Would this not be "single-infarct dementia" -  an infarct is a stroke and just one one stroke may give the symptoms similar to those of vascular dementia?ACEOREVIVED (talk) 16:52, 26 February 2013 (UTC)


 * 1. Technically, this is accurate, however in clinical practice we tend to use the term 'multi-infarct dementia' generically.
 * 2. It is pretty uncommon for one stroke to cause multi-domain or generalised cognitive impairment (rather than focal damage with a clinical cluster of relevant deficits, reflecting the damaged anatomy); often the obvious stroke follows a number of earlier, silent infarcts which become apparent once a CT or MRI has been done.
 * (a bit late in the day, but I thought I'd answer!) Kitb (talk) 17:26, 12 March 2023 (UTC)

Requested move

 * The following discussion is an archived discussion of a requested move. Please do not modify it. Subsequent comments should be made in a new section on the talk page. Editors desiring to contest the closing decision should consider a move review. No further edits should be made to this section. 

The result of the move request was: moved per request. Favonian (talk) 16:25, 5 September 2013 (UTC)

Multi-infarct dementia → Vascular dementia – Four-times the results on Google Scholar; title term for websites such as mayoclinic.com, emedicine.medscape.com, webmd.com, alz.org, etc.; better meets WP:NAMINGCRITERIA except for precision 68.165.77.193 (talk) 08:27, 29 August 2013 (UTC)
 * Also note that the current version of the article already reflects "Vascular dementia" as the article title. 68.165.77.193 (talk) 08:30, 29 August 2013 (UTC)
 * Support. LT90001 (talk) 21:27, 29 August 2013 (UTC)
 * The above discussion is preserved as an archive of a requested move. Please do not modify it. Subsequent comments should be made in a new section on this talk page or in a move review. No further edits should be made to this section.

Can someone define MID
This article mentions MID but does not define it.

Treatment
The Treatment section states that gingko biloba extract has been shown to improve cognition and slow progression, but the Wikipedia page on gingko biloba states that there is no evidence gingko is effective in treatment of anything. Which is it? 50.42.168.84 (talk) 16:25, 5 December 2021 (UTC)

Yizhi capsule
user:JoeNMLC I have removed the entry as the evidence (as cited in the linked WP  Yizhi_capsule page) is lacking: first reference seems to link to a Chinese site with porn on ( I didn't hang around to see if I could find any relevant info!); second to a primary study in rats; third to a primary study in 62 people over 2 months (totally inadequate statistical power to show any effect in this condition!); the fourth is another study in humans with only an abstract, and no indication about methodology (inclusion/exclusion; randomisation; number of patients; &c); and the last is a Cochrane systematic review which concludes no evidence of benefit. In short, no secondary (never mind tertiary) evidence cited to support it. If it is to be mentioned at all here, I suggest that it should be to cite the Cochrane conclusion (but I'm not persuaded even this is justified!).Kitb (talk) 20:46, 9 March 2023 (UTC)