Dementia Diagnosis

What's your diagnosis?

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Cerebrovascular disease. Vascular disease is generally considered the second most common cause of dementia, after Alzheimer disease, and many patients have features of both diseases. This image shows a T2-weighted MRI in vascular dementia, showing foci of abnormal high signal intensity adjacent to the lateral ventricles (arrows) and within the basal ganglia (arrowheads).

Source: Simon RP, Aminoff MJ, Greenberg DA. Clinical Neurology, 10e; 2017.