A 60-year-old patient has been suffering from arterial hypertension for 15 years. After recurrent stroke she started complaining about amotivational bad mood, problems with attention concentration; she forgets to close the entrance door, cannot recall events of the last day. Computer tomography shows areas of postinfarction changes in the cortical postfrontal regions. What is the most probable diagnosis?

Answer options

1. Pick’s disease
2. Vascular dementia
3. Huntington’s chorea
4. Alzheimer’s disease
5. Dissociative amnesia

Explanation

There are indications of classic signs of vascular dementia in the condition of the task: the patient has been suffering from hypertension for 15 years, suffered a stroke, and after a stroke, he started complaining of an unmotivated bad mood, problems with attention concentration, and memory. An additional clue is the presence of specific post-infarction changes in the cerebral cortex. Therefore, the correct answer is vascular dementia. Psychiatry: [Textbook] V.L. Gavenko, V.M. Sinayko, G.A. Samardakova and others; reduction by V.L. Gavenko, – Kharkov: Region-inform, 2006. – P. 169 – 173