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Diagnostic Criteria for Vascular Cognitive Disorders A VASCOG Statement

Authors :: Florence Pasquier
Ingmar Skoog
Niels D. Prins
Christopher Chen
Raj N. Kalaria
Gustavo C. Roman
Dan G. Blazer
Deborah Blacker
Dilip V. Jeste
Helena C. Chui
Kurt A. Jellinger
Philip Scheltens
Mary Ganguli
Kenneth Rockwood
John T. O'Brien
Perminder S. Sachdev
Jane S. Paulsen
Suvarna Alladi
Sandra E. Black
Neurology
NCA - neurodegeneration
Source :: Alzheimer Disease and Associated Disorders, 28(3), 206-218. Lippincott Williams and Wilkins, Sachdev, P, Kalaria, R, O'Brien, J, Skoog, I, Alladi, S, Black, S E, Blacker, D, Blazer, D G, Chen, C, Chui, H, Ganguli, M, Jellinger, K, Jeste, D V, Pasquier, F, Paulsen, J, Prins, N, Rockwood, K, Roman, G & Scheltens, P 2014, ' Diagnostic Criteria for Vascular Cognitive Disorders A VASCOG Statement ', Alzheimer Disease and Associated Disorders, vol. 28, no. 3, pp. 206-218 . https://doi.org/10.1097/WAD.0000000000000034
Publication Year :: 2014
Abstract: Author(s): Sachdev, Perminder; Kalaria, Raj; O'Brien, John; Skoog, Ingmar; Alladi, Suvarna; Black, Sandra E; Blacker, Deborah; Blazer, Dan G; Chen, Christopher; Chui, Helena; Ganguli, Mary; Jellinger, Kurt; Jeste, Dilip V; Pasquier, Florence; Paulsen, Jane; Prins, Niels; Rockwood, Kenneth; Roman, Gustavo; Scheltens, Philip; Internationlal Society for Vascular Behavioral and Cognitive Disorders | Abstract: BackgroundSeveral sets of diagnostic criteria have been published for vascular dementia since the 1960s. The continuing ambiguity in vascular dementia definition warrants a critical reexamination.MethodsParticipants at a special symposium of the International Society for Vascular Behavioral and Cognitive Disorders (VASCOG) in 2009 critiqued the current criteria. They drafted a proposal for a new set of criteria, later reviewed through multiple drafts by the group, including additional experts and the members of the Neurocognitive Disorders Work Group of the fifth revision of Diagnostic and Statistical Manual (DSM-5) Task Force.ResultsCognitive disorders of vascular etiology are a heterogeneous group of disorders with diverse pathologies and clinical manifestations, discussed broadly under the rubric of vascular cognitive disorders (VCD). The continuum of vascular cognitive impairment is recognized by the categories of Mild Vascular Cognitive Disorder, and Vascular Dementia or Major Vascular Cognitive Disorder. Diagnostic thresholds are defined. Clinical and neuroimaging criteria are proposed for establishing vascular etiology. Subtypes of VCD are described, and the frequent cooccurrence of Alzheimer disease pathology emphasized.ConclusionsThe proposed criteria for VCD provide a coherent approach to the diagnosis of this diverse group of disorders, with a view to stimulating clinical and pathologic validation studies. These criteria can be harmonized with the DSM-5 criteria such that an international consensus on the criteria for VCD may be achieved.