Diagnostic criteria for vascular cognitive disorders: a VASCOG statement.
Diagnostic criteria for vascular cognitive disorders: a VASCOG statement.
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DOI：
10.1097/wad.0000000000000034
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发表时间：
2014-07
影响因子：
2.1
通讯作者：
Internationlal Society for Vascular Behavioral and Cognitive Disorders
中科院分区：
文献类型：
--
作者：
Sachdev P;Kalaria R;O'Brien J;Skoog I;Alladi S;Black SE;Blacker D;Blazer DG;Chen C;Chui H;Ganguli M;Jellinger K;Jeste DV;Pasquier F;Paulsen J;Prins N;Rockwood K;Roman G;Scheltens P;Internationlal Society for Vascular Behavioral and Cognitive Disorders
自20世纪60年代以来，已经出版了几套血管性痴呆（VaD）的诊断标准。VaD定义中持续的模糊性值得我们重新审视。2009年国际血管行为和认知障碍学会（VASCOG）特别研讨会的参与者批评了现行的标准。他们为一套新的标准起草了一份提案，随后由该小组（包括DSM-5工作组的其他专家和神经认知障碍工作组的成员）通过多个草案进行了审查。血管性病因性认知障碍是一组具有不同病理和临床表现的异质性疾病，在血管性认知障碍（VCD）的标题下进行了广泛的讨论。血管性认知障碍的连续性可分为轻度血管性认知障碍、血管性痴呆或重度血管性认知障碍。定义诊断阈值。提出了建立血管病因的临床和神经影像学标准。描述了VCD的亚型，并强调了阿尔茨海默病病理的频繁共存。拟议的VCD标准提供了一种连贯的方法来诊断这种不同的疾病组，以期刺激临床和病理验证研究。这些标准可以与DSM-5标准协调一致，以便就VCD标准达成国际共识。
Several sets of diagnostic criteria have been published for vascular dementia (VaD) since the 1960s. The continuing ambiguity in VaD definition warrants a critical re-examination. Participants 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 DSM-5 Task Force. Cognitive 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 co-occurrence of Alzheimer’s disease pathology emphasized. The proposed criteria for VCD provide a coherent approach to the diagnosis of this diverse group of disorders, with a view to stimulating clinical and pathological 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.