The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Cherdak M.A.

Pirogov Russian National Research Medical University

Mkhitaryan E.A.

Pirogov Russian National Research Medical University;
Russian Clinical and Research Center of Gerontology Pirogov — Russian National Research Medical University

Tkacheva O.N.

Pirogov Russian National Research Medical University

Differential diagnosis of Alzheimer’s disease and vascular cognitive disorders

Authors:

Cherdak M.A., Mkhitaryan E.A., Tkacheva O.N.

More about the authors

Read: 821 times


To cite this article:

Cherdak MA, Mkhitaryan EA, Tkacheva ON. Differential diagnosis of Alzheimer’s disease and vascular cognitive disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(4‑2):26‑35. (In Russ.)
https://doi.org/10.17116/jnevro202512504226

Recommended articles:
Tube­rculous otitis media in an adolescent. Clinical case. Russian Bulletin of Otorhinolaryngology. 2024;(5):63-66
Giant peri­cranial sinus with exte­nsive occi­pital calvarium defect. Burdenko's Journal of Neurosurgery. 2024;(6):77-87
Como­rbidity of depression and deme­ntia: epidemiological, biological and therapeutic aspe­cts. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):113-121
Modern aspe­cts of chro­nic cere­bral ischemia pathogenetic therapy. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(12):106-113
Non-invasive biomarkers for early diagnosis of Alzheimer’s disease in bodily fluids. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(1):8-16
Functional state of the kidneys in patients with various types of cere­brovascular diseases. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(1):105-111

References:

  1. Cherdak MA, Mkhitaryan EA, Sharashkina NV, et al. Prevalence of cognitive impairment in older adults in the Russian Federation. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(4-2):5-11. (In Russ.). https://doi.org/10.17116/jnevro20241240425
  2. Neuville RS, Biswas R, Ho CC, et al. Study of neuropathological changes and dementia in 100 centenarians in The 90+ Study. Alzheimers Dement. 2023;19(8):3417-3425. https://doi.org/10.1002/alz.12981
  3. Chhabra A, Solanki S, Saravanabawan P, et al. A systematic review of the efficacy and safety of anti-amyloid beta monoclonal antibodies in treatment of Alzheimer’s disease. Expert Opin Biol Ther. 2024;24(11):1261-1269. https://doi.org/10.1080/14712598.2024.2416947
  4. Cummings J, Zhou Y, Lee G, et al. Alzheimer’s disease drug development pipeline: 2024. Alzheimer’s Dement. 2024;10:e12465. https://doi.org/10.1002/trc2.12465
  5. Yakhno NN, Tkacheva ON, Gavrilova SI, et al. Comprehensive interdisciplinary and interdepartmental program for prevention, early detection, diagnosis and treatment of cognitive disorders in older and senile people. Russian Journal of Geriatric Medicine. 2022;(1):6-16. (In Russ.). https://doi.org/10.37586/2686-8636-1-2022-6-16
  6. Miao J, Ma H, Yang Y, et al. Microglia in Alzheimer’s disease: pathogenesis, mechanisms, and therapeutic potentials. Front Aging Neurosci. 2023;15:1201982. https://doi.org/10.3389/fnagi.2023.1201982
  7. Prasanna P, Rathee S, Rahul V, et al. Microfluidic Platforms to Unravel Mysteries of Alzheimer’s Disease: How Far Have We Come? Life (Basel). 2021;11(10):1022. https://doi.org/10.3390/life11101022
  8. Tijms BM, et al. Cerebrospinal fluid proteomics in patients with Alzheimer’s disease reveals five molecular subtypes with distinct genetic risk profiles. Nat Aging. 2024;4(1):33-47.  https://doi.org/10.1038/s43587-023-00550-7
  9. Jia J, Ning Y, Chen M, et al. Biomarker Changes during 20 Years Preceding Alzheimer’s Disease. N Engl J Med. 2024;390(8):712-722.  https://doi.org/10.1056/NEJMoa2310168
  10. Rao YL, Ganaraja B, Murlimanju BV, et al. Hippocampus and its involvement in Alzheimer’s disease: a review. Biotech. 2022;12(2):55.  https://doi.org/10.1007/s13205-022-03123-4.
  11. Eichenbaum H, Lipton PA. Towards a functional organization of the medial temporal lobe memory system: role of the parahippocampal and medial entorhinal cortical areas. Hippocampus. 2008;18(12):1314-1324. https://doi.org/10.1002/hipo.20500
  12. Bogolepova AN, Vasenina EE, Gomzyakova NA, et al. Clinical Guidelines for Cognitive Disorders in Elderly and Older Patients. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(10-3):6-137. (In Russ.). https://doi.org/10.17116/jnevro20211211036
  13. Vasenina EE, Levin OS. Aphasia As a Core Symptom of Classical and Atypical Variants of Alzheimer’s Disease. Effective pharmacotherapy. 2024;20(7):30-37. (In Russ.).
  14. Fukui T, Yamazaki T, Kinno R. Can the ‘head-turning sign’ be a clinical marker of Alzheimer’s disease? Dement Geriatr Cogn Dis. 2011;1(1):310-317.  https://doi.org/10.1159/000332605
  15. Wood RA, Moodley KK, Lever C, et al. Allocentric Spatial Memory Testing Predicts Conversion from Mild Cognitive Impairment to Dementia: An Initial Proof-of-Concept Study. Front Neurol. 2016;7:215.  https://doi.org/10.3389/fneur.2016.00215
  16. Kolykhalov IV. Behavioral and psychopathological symptoms in Alzheimer’s disease: epidemiological, psychopathological, and neurobiological aspects. Psikhiatriya. 2015;(3):74-84. (In Russ.). https://doi.org/10.30629/2618-6667-2015-67-74-84
  17. Jin P, Xu J, Liao Z, et al. A review of current evidence for mild behavioral impairment as an early potential novel marker of Alzheimer’s disease. Front Psychiatry. 2023;14:1099333. https://doi.org/10.3389/fpsyt.2023.1099333
  18. Cherkasov NS, Kolykhalov IV. Non-cognitive psychopathological symptoms in mild cognitive impairment. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(10-2):41-51. (In Russ.). https://doi.org/10.17116/jnevro202112110241
  19. Zhao QF, Tan L, Wang HF, et al. The prevalence of neuropsychiatric symptoms in Alzheimer’s disease: Systematic review and meta-analysis. J Affect Disord. 2016;206(7):8-18.  https://doi.org/10.1016/j.jad.2015.09.069
  20. Mortby ME, Burns R, Eramudugolla R, et al. Neuropsychiatric Symptoms and Cognitive Impairment: Understanding the Importance of Co-Morbid Symptoms. J Alzheimers Dis. 2017;59(1):141-153.  https://doi.org/10.3233/JAD-170050
  21. Mortby ME, Ismail Z, Anstey KJ. Prevalence estimates of mild behavioral impairment in a population-based sample of pre-dementia states and cognitively healthy older adults. Int Psychogeriatr. 2018;30:221-232.  https://doi.org/10.1017/S1041610217001909
  22. Botto R, Callai N, Cermelli A, et al. Anxiety and depression in Alzheimer’s disease: a systematic review of pathogenetic mechanisms and relation to cognitive decline. Neurol Sci. 2022;43(7):4107-4124. https://doi.org/10.1007/s10072-022-06068-x
  23. Dolphin H, Dyer AH, McHale C, et al. An Update on Apathy in Alzheimer’s Disease. Geriatrics (Basel). 2023;8(4):75.  https://doi.org/10.3390/geriatrics8040075
  24. El Haj M, Roche J, Jardri R, et al. Clinical and neurocognitive aspects of hallucinations in Alzheimer’s disease. Neurosci Biobehav Rev. 2017;83:713-720.  https://doi.org/10.1016/j.neubiorev.2017.02.021
  25. Fischer CE, Qian W, Schweizer TA, et al. Lewy Bodies, Vascular Risk Factors, and Subcortical Arteriosclerotic Leukoencephalopathy, but not Alzheimer Pathology, are Associated with Development of Psychosis in Alzheimer’s Disease. J Alzheimers Dis. 2016;50(1):283-295.  https://doi.org/10.3233/JAD-150606
  26. Jack CR Jr, Bennett DA, Blennow K, et al. A/T/N: An unbiased descriptive classification scheme for Alzheimer disease biomarkers. Neurology. 2016;87(5):539-547.  https://doi.org/10.1212/WNL.0000000000002923
  27. Park HY, Park CR, Suh CH, et al. Diagnostic performance of the medial temporal lobe atrophy scale in patients with Alzheimer’s disease: a systematic review and meta-analysis. Eur Radiol. 2021;31(12):9060-9072. https://doi.org/10.1007/s00330-021-08227-8
  28. Dubois B. Biomarkers in Alzheimer’s disease: role in early and differential diagnosis and recognition of atypical variants. Alzheimers Res Ther. 2023;15(1):175.  https://doi.org/10.1186/s13195-023-01314-6
  29. Lee J, Jang H, Kang SH, et al. Cerebrospinal Fluid Biomarkers for the Diagnosis and Classification of Alzheimer’s Disease Spectrum. J Korean Med Sci. 2020;35(44):e361. https://doi.org/10.3346/jkms.2020.35.e361
  30. Leuzy A, Mattsson-Carlgren N, Palmqvist S, et al. Blood-based biomarkers for Alzheimer’s disease. EMBO Mol Med. 2022;14(1):e14408. https://doi.org/10.15252/emmm.202114408
  31. Cherdak MA. Brain Aging. Problems of Geroscience. 2023;(2):71-79. (In Russ.) https://doi.org/10.37586/2949-4745-2-2023-71-79
  32. Emelin AYu, Lobzin VYu. Criteria for diagnosis and classification of vascular cognitive impairment. Nevrologiya, neiropsikhiatriya, psikhosomatika=Neurology, Neuropsychiatry, Psychosomatics. 2022;14(6):131-138. (In Russ.). https://doi.org/10.14412/2074-2711-2022-6-131-138
  33. Ten Kate M, Sudre CH, den Braber A. White matter hyperintensities and vascular risk factors in monozygotic twins. Neurobiol Aging. 2018;66:40-48.  https://doi.org/10.1016/j.neurobiolaging.2018.02.002
  34. Dichgans M, Leys D. Vascular Cognitive Impairment. Circ Res. 2017;120(3):573-591.  https://doi.org/10.1161/CIRCRESAHA.116.308426
  35. Zakharov VV. Diagnosis and treatment of vascular cognitive disorders. The Clinician. 2023;17(3):12-21. (In Russ.). https://doi.org/10.17650/1818-8338-2023-17-3-K694
  36. Wouts L, Marijnissen RM, Oude Voshaar RC, Beekman ATF. Strengths and Weaknesses of the Vascular Apathy Hypothesis: A Narrative Review. Am J Geriatr Psychiatry. 2023;31(3):183-194.  https://doi.org/10.1016/j.jagp.2022.09.016
  37. Vakhnina NV, Zakharov VV. Disturbances of gait and postural stability in chronic cerebral ischemia. S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(1):78-84. (In Russ.). https://doi.org/10.17116/jnevro20171171178-84
  38. Ramírez F, Gutiérrez M, Dual-Task Gait, as al. Predictive Tool for Cognitive Impairment in Older Adults: A Systematic Review. Front Aging Neurosci. 2021;13:769462. https://doi.org/10.3389/fnagi.2021.769462
  39. Zhao P, Zhang G, Shen Y, et al. Urinary dysfunction in patients with vascular cognitive impairment. Front Aging Neurosci. 2023;14:1017449. https://doi.org/10.3389/fnagi.2022.1017449
  40. Takahashi O, Sakakibara R, Panicker J, et al. White matter lesions or Alzheimer’s disease: which contributes more to overactive bladder and incontinence in elderly adults with dementia? J Am Geriatr Soc. 2012;60(12):2370-2371. https://doi.org/10.1111/jgs.12004
  41. Skrobot OA, Black SE, Chen C, et al. Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study. Alzheimers Dement. 2018;14(3):280-292.  https://doi.org/10.1016/j.jalz.2017.09.007
  42. Sachdev P, Kalaria R, O’Brien J, et al.; Internationlal Society for Vascular Behavioral and Cognitive Disorders. Diagnostic criteria for vascular cognitive disorders: a VASCOG statement. Alzheimer Dis Assoc Disord. 2014;28(3):206-218.  https://doi.org/10.1097/WAD.0000000000000034
  43. Zheng K, Wang Z, Chen X, et al. Analysis of Risk Factors for White Matter Hyperintensity in Older Adults without Stroke. Brain Sci. 2023;13(5):835.  https://doi.org/10.3390/brainsci13050835
  44. Cherdak MA. Mechanisms of Neurocognitive Adaptation during Aging Process. Problems of Geroscience. 2023;(2):94-101. (In Russ.). https://doi.org/10.37586/2949-4745-2-2023-94-101
  45. Poggesi A, Pantoni L, Inzitari D, et al. 2001-2011: A Decade of the LADIS (Leukoaraiosis And DISability) Study: What Have We Learned about White Matter Changes and Small-Vessel Disease? Cerebrovasc Dis. 2011;32(6):577-588.  https://doi.org/10.1159/000334498
  46. Kalaria RN, Akinyemi R, Ihara M. Stroke injury, cognitive impairment and vascular dementia. Biochim Biophys Acta. 2016;1862(5):915-925.  https://doi.org/10.1016/j.bbadis.2016.01.015
  47. Rahimi J, Kovacs GG. Prevalence of mixed pathologies in the aging brain. Alzheimers Res Ther. 2014;6(9):82.  https://doi.org/10.1186/s13195-014-0082-1
  48. Cherdak MA, Yahno NN. Neurodegenerative and vascular factors of the development of post-stroke cognitive disorders. Neurological Journal. 2012;5:10-15. (In Russ.).

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.