7/23/2019 Dignosis of Vascular Dementia

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DIGNOSIS OF VASCULAR DEMENTIA

YUSTIANI DIKOT

Vascular disease maybe !e si"#le m$s im%$ra" #l$bal &ac$r causi"# $r

c$"ribui"# $ c$#"ii'e im%airme"( Sudies $& c$#"ii'e im%airme" i" %aie"s

sc!eduled &$r c$r$"ary arery by%ass #ra&) !y%ere"si$" ) !y%erli%idemia a"d diabeesmellius %er&$rmed si#"i&ica"ly *$rse !a" c$"r$l #r$u%

Vascular deme"ia +VaD, is !e sec$"d m$s c$mm$" cause $& deme"ia a"d i"

s$me %ar $& Asia" c$u"ries !e i"cide"ce $& VaD is m$re !i#!er !a" i" *eser"

c$u"ries( VaD is a c$m%le- disease emer#i"# &r$m a 'ariey $& disi"c cerebral 'ascular%a!$l$#ies *i! 'aried cli"ical %rese"ai$"( Dia#"$sic crieria &$r VaD #a!ered

im%airme" $& c$#"ii'e &u"ci$" )ima#i"# a"d ris. &ac$r daa $" %aie"s *i!

cerebr$'ascular disease a"d !e im%airme" mus be i"er&ere *i! aci'iy $& daily li'i"#(

Curre" crieria $& VaD re/uire e'ide" $& sr$.e bu i& early) seemi"#ly sile" $ri& leuc$arai$sis is rele'a" !e %rese"ce $& c$#"ii'e im%airme" *!ic! is di&&er &r$m

Al0!eimer1s deme"ia) mem$ry im%airme" is "$ %r$mi"e" )!e m$s c$mm$" &eaureare im%airme" $& subc$rical a"d &r$"al l$be &u"ci$"( T!ese %aie" c$uld "$ i"clude

i" VaD cieria bu i"clude i" C$#"ii'e im%airme" "$ deme"ia +CIND,( T$ ide"i&ied

cases early *e mus re%laced !e crieria $& VaD $ Vascular C$#"ii'e Im%airme" *i!!e s%ecrum &r$m CIND )VaD $ mi-ed y%e deme"ia ( Early deeci$" $& c$#"ii'e

im%airme" c$uld %re'e" !e de'el$%me" $& 'ascular deme"ia +VaD, i" %aie"s *i!

cerebr$'ascular ris. &ac$rs +2rai" a ris.,(

Key *$rds3 2rai" a ris.) Early dia#"$sis $& VCI)%re'e"i$" a"d reame") %re'e"i$" $&VaD

7/23/2019 Dignosis of Vascular Dementia

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DIAGNOSA DEMENSIA VASKULER

YUSTIANI DIKOT

Ga"##ua" 'as.uler meru%a.a" %e"yebab uama #a"##ua" .$#"ii&)%e"eliia"

%ada %e"deria ya"# di%ersia%.a" u"u. $%erasi coronary artery bypass graft ,!i%ere"si)

!i%erli%edemi da" diabees mellius me"u"4u.a" ada"ya #a"##ua" &u"#si .$#"ii& ya"#berma."a diba"di"#.a" de"#a" c$"r$l(

Deme"sia 'as.uler +VaD, %e"yebab deme"sia .edua seela! deme"sia Al0!eimer

+AD, da" diseba#ia" Ne#ara di Asia me"u"4u.a" a"#.a ya"# lebi! i"##i diba"di"#.a"

de"#a" Ne#ara bara(VaD suau si"dr$ma ya"# .$m%le.s disebab.a" $le! .elai"a" %a$l$#i 'as.uler

ya"# bera#am de"#a" ma"i&esasi .li"is ya"# ber'ariasi( ).rieria dia#"$si. berdasar.a"ada"ya #a"##ua" .$#"ii&) %eruba!a" %ada %e"ciraa" $a. ) ada"ya &ac$r resi.$

'as.uler da" ada"ya .$relasi *a.u a"ara .e4adia" #a"##ua" 'as.uler de"#a" #a"##ua"

.$#"ii& ya"# a.a" me"imbul.a" #a"##ua" %ada a.i&ias !aria""ya(Krieria i"i ida.me"ca.u% #a"##ua" .$#"ii& ya"# er4adi %ada #a"##ua" serebr$'as.uler de"#a"

#a"##ua" .$#"ii& sa4a)aau leu.$arai$sis ya"# disebab.a" $le! is.emia

serebri(Kel$m%$. i"i ermasu. dalam cognitive impairment no dementia (CIND). U"u.

ide"i&i.asi #a"##ua" .$#"ii& di"i .$"se% VaD !arus diruba! me"4adi vascular cognitiveimpairment (VCI, ya"# mem%u"yai s%ecrum lebi! luas dari CIND)VaD sam%ai mi-ed

y%e deme"ia +VaD da" AD,( Dee.si di"i #a"##ua" .$#"ii& da%a me"ce#a! er4adi"ya

VaD %ada %e"deria de"#a" &ac$r resi.$ 'ascular +Brain at Ris).

Kaa .u"ci32rai" a ris.)dee.si di"i VCI)%re&e"i& da" .urai&(me"ce#a! VaD(