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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 judgement 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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