[Hinews] [Physician's Column] By Jin Young Jung, Champodonamu Hospital

Individuals who have suffered a stroke face a significantly heightened risk of developing vascular dementia, particularly those with multiple cerebral infarctions. Vascular dementia, a form of cognitive impairment, arises from damaged blood vessels or disrupted blood supply to the brain following a stroke. Symptoms may include memory loss, language difficulties, and impaired judgment. Because it severely affects daily life and often worsens over time, early intervention and careful management are essential.

The risk is particularly high in patients with multiple cerebral infarctions, where several brain regions are damaged simultaneously, causing widespread functional impairments. For these patients, regular medical evaluations and diligent management are essential to mitigate the risk of cognitive decline.

 Dr. Jin Young Jung, Champodonamu Hospital.
Dr. Jin Young Jung, Champodonamu Hospital.


Preventing stroke is the cornerstone of reducing the likelihood of vascular dementia. The main risk factors—hypertension, diabetes, and hyperlipidemia—must be carefully controlled. These conditions strain blood vessels and greatly increase the risk of stroke. Unmanaged hypertension can stiffen blood vessels and hinder smooth blood flow, potentially triggering a stroke. Uncontrolled diabetes damages blood vessels, while hyperlipidemia causes cholesterol buildup that narrows arteries and increases the risk of cerebral blood clots. Regular health screenings to monitor blood pressure, blood sugar, and cholesterol levels are vital. When necessary, physicians may prescribe medications alongside lifestyle modifications to manage these conditions effectively.
Prompt treatment following a stroke is critical to minimizing long-term consequences. The sooner treatment begins, the better the chances of limiting brain damage. Delays in care allow brain injury to worsen, underscoring the need for rapid response. Initial stroke treatment focuses on restoring blood flow or removing blood clots to limit neurological damage. Warning signs such as sudden speech difficulties, weakness in one arm or leg, or blurred vision require immediate action. Call emergency services (911 in the U.S. or 119 in South Korea) and seek hospital care without delay.

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