DOI: 10.36347/sjams.2018.v06i03.039

Pages: 1007-1014

Cognitive impairment due to cerebrovascular disease is termed.” vascular cognitive Impairment “(vici,) and forms a spectrum that includes vascular dementia and milder forms of cognitive impairment referred to as vascular mild cognitive impairment (vci)1. Vascular cognitive impairment (vci) has some varied and diverse aetiology. This is particularly important as apart from age. Vascular risk factors are the most important and presently the only treatable precursor to dementia. This prospective observational study was carried out in in department of medicine, Gandhi medical College and associated Hamidia Hospital bhopal. This study covered population of bhopal and neighbouring districts. A standard protocol was applied at admission and 3 months after stroke, this protocol included clinical, functional and cognitive assessments, heamogram and serum biochemistry, ecg, non-contrast CT scan, 2d echo, carotid Doppler and MMSE (mini mental state examination). Mean age of patients having mild cognitive impairment is 63±6. In these study 62% patients belongs to low socioeconomic status. The percentage of patients having low socioeconomic status and low educational status is more in patients having vascular cognitive impairment. Amongst the various risk factors hypertension, diabetes mellitus, prior stroke, dyslipidemia, ischaemic heart disease, tobacco chewing, smoking family history of dementia were more frequently seen vascular cognitive impairment group. In this study, the frequency of patients having post stroke vascular cognitive impairment (VCI) is 54%. 18% of the patients had VaD(Vascular dementia), 36% of the patients had VMCI(vascular mild cognitive impairment), 46% of the patients had NO VCI (no vascular cognitive impairment.