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Abruptly Biff's avatar

I have a lovely friend who is a little further along than I am in her journey with being a caregiver for someone with dementia. We consider ourselves well informed on the topic and have previously discussed the types of dementia as outlined in the chart from the NIH at the end of this article. One sentence leapt out at me from that chart and reminded me of one our conversations. "There is currently no cure for these types of dementia." This was not a footnote for one particular type of dementia; it applied to all types in the chart. But should it?

Of all the dementias described, there is a possibility, and even a good chance, that with no further stroke damage a marked improvement can be had in those diagnosed with vascular dementia. The brain, even the elderly brain, is capable of regenerating pathways and returning some patients with vascular dementia, as can be done with many stroke patients, to a close to pre-mini stroke normal, again assuming further mini-strokes are prevented.

And a huge difference between vascular dementia and the other dementias in the chart is the sudden onset aspect. One week your 86 year old mother is playing duplicate bridge, has two book club meetings and has plans to go out for lunch or dinner several times, and the next week she is feverishly walking on a continuous loop around the dining room table with a walker we didn't know she owned, refusing to eat anything except chocolate milkshakes, has cut up all of her underwear and is wearing them with safety pins as fasteners because her underwear is now too small and "hurts", and calling her friends at 2 am to inform them that my father is either starving her or poisoning her.

That kind of behaviour absolutely points to vascular dementia and while the word "cure" may be too strong a descriptor, by the time my mother turned 87, she was playing bridge again, had returned to her first love - reading, and joined their condo board because she was sick and tired of listening to my father complain about their actions and decided to do something about it since he wouldn't.

In other words, the feisty, independent woman I had known my whole life, came back. She remembered her behaviour during that time - another differentiator from the other types of dementia - and it embarrassed her immensely.

So, should vascular dementia be on this chart? Yes, but only if it is recognized that it is treatable and your loved one could very well recover from it.

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