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Volume 09
February 15-16, 2019 Amsterdam| Netherlands
Vascular Dementia
11
th
International Conference on
Vascular Dementia 2019
Journal of Alzheimers Disease & Parkinsonism | ISSN : 2161-0460
Is it vascular cognitive impairment or simply an existing adult ADHD getting
worse?
Case:
This is the case report of Mr. Ashoke 61/M, his chief concerns are forgetfulness and
having problems in taking judgments.
Psychiatric History:
Nothing significant other than chronic mild anxiety according to his
wife. History revealed mild forgetfulness and difficulty in making plans since adolescence.
Present Medical History:
Type-2 diabetes for last 14 years and hypertensive; had 2 brief
episodes of probable TIA.
Past History:
No significant medical illness.
Neuropsychological Testing:
MMSE and MoCA (Montreal Cognitive Assessment)
scores were 21 and 22 respectively consistent with a diagnosis of VCIND. However, as
he has a longitudinal h/o some executive dysfunctions including working memory, he was
walked through DIVA scoring and Conner’s Adult ADHD rating scale and the scores were
significantly in favor of an Adult ADHD diagnosis (DIVA score >4 and Conner’s Adult
ADHD rating scale t score >65).
Discussion:
VCIND (Vascular Cognitive Impairment Not Dementia) is a likely diagnosis
with history of diabetes, hypertension and TIAs (even if his TIAs are image negative), but
given a chronic persistent h/o mild cognitive impairment since adolescence, a differential
diagnosis of Adult ADHD should be considered. Hence, those cases of VCIND (Vascular
Cognitive Impairment Not Dementia) and MCI (Minimal Cognitive Impairment) with
chronic h/o memory impairment, ADHD should be excluded.
Biography
Debanjan Pan is a Fellow of the Indian Psychiatric Society, Member of the Indian Association of Child &
Adolescent Mental Health, Member of The Alzheimer & Related Disease Society Of India, International
Associate of The Royal College Of Psychiatrist (RCPsych) and Fellow of The American Psychiatric Association
(APA). He completed his Post-graduate Oversees Specialty Training Fellowship (POST Fellow) in CAMH,
St. Vincent's Hospital, Melbourne, University of Melbourne; Medical Graduate from RG Kar Medical College
1990; DCH from Calcutta University (1995); DPM from Calcutta University (2001) and; MD from Calcutta
University (2005). Presently, he is serving as Director of Saltlake Mindset Organization (www.saltlakemindset.
org) a noted mental health treatment unit in Kolkata, West Bengal, India. He is also attached as a Senior
Consultant Psychiatrist at The South Heart Clinic and Diagnostic Center, Near Jadavpur and Theism Polyclinic,
Dumdum. His interests include Child & Adolescent Mental Health and Cognitive Behavioral Therapy. He has
presented several papers at AAGP 2012 & 2013; World ADHD Congress 2013; ISAD Congress, Berlin 2014;
APA Congress, 2015 and; Toronto and European Congress of Psychopharmacology Vienna, Sept, 2016. He
is a regular Columnist on topics of mental health related issues for common people in popular dailies (Aajkal,
Bartaman, Pratidin) & other magazines like Saptahik Bartaman and Arogyo Katha.
debanjandoc@gmail.comDebanjan Pan
Saltlake Mindset, India
Debanjan Pan, J Alzheimers Dis Parkinsonism 2019, Volume 09
DOI: 10.4172/2161-0460-C1-060