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Diagnosis of Vascular Dementia: Consortium of Canadian Centres for Clinical Cognitive Research Concensus Statement

Published online by Cambridge University Press:  18 September 2015

Kenneth Rockwood*
Consortium of Canadian Centres for Clinical Cognitive Research
Irma Parhad
Consortium of Canadian Centres for Clinical Cognitive Research
Vladimir Hachinski
Consortium of Canadian Centres for Clinical Cognitive Research
Timo Erkinjuntti
Consortium of Canadian Centres for Clinical Cognitive Research
Barry Rewcastle
Consortium of Canadian Centres for Clinical Cognitive Research
Andrew Kertesz
Consortium of Canadian Centres for Clinical Cognitive Research
M. Robin Eastwood
Consortium of Canadian Centres for Clinical Cognitive Research
Stephen Phillips
Consortium of Canadian Centres for Clinical Cognitive Research
Division of Geriatric Medicine. Dalhousie University, 1763 Robie Street. Halifax, Nova Scotia, Canada B3H 3G2
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Interest in vascular causes for cognitive impairment is increasing, in recognition that such causes are common, and possibly preventable. This has led to attempts to better define vascular dementia and its natural history. Several sets of criteria for the diagnosis of vascular dementia have been proposed. We provide a brief overview of the background to the initiation of a Canadian consensus conference, established by the Consortium of Canadian Centres for Clinical Cognitive Research (C5R) and report the conclusions reached at that conference. To date, no one set of criteria is demonstrably superior to another; we have therefore not endorsed any of the competing sets, nor have we recommended our own. Instead we suggest that empiric studies are required to establish valid criteria. A diagnostic checklist, which combines existing criteria and additional data, is attached for clinicians wishing to participate in such studies.



Diagnostic de la démence vasculaire: consensus du consortium des centres canadiens pour recherche clinique sur la cognition. L’intérêt pour les causes vasculaires des déficits cognitifs a augmenté depi que l’on sait que ces causes sont fréquentes et qu’on peut possiblement les prévenir. De là les efforts pour miei définir la démence vasculaire et décrire son évolution naturelle. Plusieurs séries de critères pour le diagnostic de démence vasculaire ont été proposées. Nous faisons un bref rappel du contexte dans lequel la conférence pour u consensus canadien, établie par le Consortium des centres canadiens pour la recherche clinique sur la cognition,; été amorcée et nous en rapportons les conclusions. Aucun ensemble de critères ne s’est avéré supérieur aux autres jusqu’à maintenant; nous n’en avons donc recommandé aucun, même pas le nôtre. Nous croyons que des études empiriques sont nécessaires pour établir des critères valides. Nous présentons une grille diagnostique incluant des critères actuels et des données additionelles à l’intention des cliniciens qui désirent participer à ces études.

Neurological Diagnosis
Copyright © Canadian Neurological Sciences Federation 1994



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