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Vascular Dementia Symptoms and DSM-IV Diagnosis

Vascular Dementia Type Symptoms and Diagnosis Overview:

Vascular Dementia symptoms and diagnostic criteria follow below. While some of these Vascular Dementia  symptoms may be recognized by family, teachers, legal and medical professionals,  and others, only  properly trained mental health professionals (psychologists, psychiatrists, professional counselors etc.) can or should even attempt to make a mental health diagnosis. Many additional factors are considered in addition to the Vascular Dementia  symptoms in making proper diagnosis, including frequently medical and psychological testing considerations. This information on Vascular Dementia symptoms and diagnostic criteria are for information purposes only and should never replace the judgment and comprehensive assessment of a trained mental health clinician. 

 

Diagnostic criteria for 290.4x Vascular Dementia

A. The development of multiple cognitive deficits manifested by both

(1)          memory impairment (impaired ability to learn new information or to recall previously learned information)

(2)          one (or more) of the following cognitive disturbances:

(a)          aphasia (language disturbance)

(b)          apraxia (impaired ability to carry out motor activities despite intact motor function)

(c)          agnosia (failure to recognize or identify objects despite intact sensory function)

 

(d)          disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting)

B. The cognitive deficits in Criteria Al and A2 each cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning.

C. Focal neurological signs and symptoms (e.g., exaggeration of deep tendon reflexes, extensor plantar response, pseudobulbar palsy, gait abnormalities, weakness of an extremity) or laboratory evidence indicative of cerebrovascular disease (e.g., multiple infarctions involving cortex and underlying white matter) that are judged to be etiologically related to the disturbance.

D. The deficits do not occur exclusively during the course of a delirium.

Code based on predominant features: 

290.41 With Delirium: if delirium is superimposed on the dementia

290.42 With Delusions: if delusions are the predominant feature

290.43 With Depressed Mood: if depressed mood (including presentations that meet full symptom criteria for a Major Depressive Episode) is the predominant feature. A separate diagnosis of Mood Disorder Due to a General Medical Condition is not given.

290.40 Uncomplicated: if none of the above predominates in the current clinical presentation 

Specify if: 

With Behavioral Disturbance 

Coding Note: Also code cerebrovascular condition on Axis III

Also, See other Diagnosis and Symptoms of Delirium, Dementia, and Amnestic and Other Cognitive Disorders

Other Mental Health Diagnostic Symptoms and Criteria 

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