EM1606I "Revisiting the Concept of Multi-Infarct Dementia: The Continuum of Vascular Cognitive Impairment" (IM GR-062416)

Dementia is the leading cause of dependence and disability among the geriatric population worldwide. Average life expectancy increases, the prevalence of dementia and its associated costs are expected to rise exponentially.

As we think about the causes of dementia, most of us are familiar with the term “Multi-Infarct Dementia” and have been taught that vascular brain injury is a less common cause of cognitive impairment than AD. Over the past decade, however, our understanding of the continuum of vascular cognitive impairment that culminates in the dementia syndrome has changed.

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Target Audience

UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • Understand the distinction between Major and Mild Neurocognitive Disorder
  • Understand that the impact of cerebrovascular risk factors on the brain begins in middle age and increases the risk of the dementia syndrome later in life
  • Understand that the failure of dementia treatment trials to date may be a reflection of pathological overlap
  • Realize that patients with vascular cognitive impairment may present with executive dysfunction and slowed, shortened gait rather than memory loss
  • Manage risk factors and propose treatment options based on emerging evidence and time- to benefit- considerations
Course summary
Available credit: 
  • 1.00 AMA
Course opens: 
Course expires: 

Photo: Jarett D. Berry, MD, MS, FAHABelinda Vicioso, M.D., F.A.C.P.
Professor Jose Garcia, M.D., Professorship in Internal Medicine
Division of Geriatric Medicine

Available Credit

  • 1.00 AMA


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