Snapshot A 68-year-old man presents to his neurologist for a follow-up visit. He experienced his second ischemic stroke approximately 6 months ago and has minimal neurological deficits. He continues to take his aspirin, maximum intensity statin, and lisinopril. He is accompanied by his wife, who said he has been having trouble with planning or solving complex tasks. Physical examination is notable for impaired executive functioning. An MRI brain demonstrates cortical ischemic changes. Introduction Definition login to view 1 more bullet Associated conditions login to view 2 more bullets Epidemiology Incidence login to view 2 more bullets Etiology Cerebrovascular disease Impaired cerebral blood flow Pathogenesis Cerebral infarction results in improper brain functioning Presentation Symptoms login to view 3 more bullets Imaging MRI brain login to view 2 more bullets Studies Cognitive screening tests login to view 1 more bullet Differential Alzheimer disease login to view 3 more bullets Dementia with Lewy bodies login to view 5 more bullets Treatment Risk factor management is also important in managing vascular dementia Medical login to view 7 more bullets Complications Depression Impaired activities of daily living