Question

A 58-year-old man with hypertension and diabetes presents with progressive cognitive decline over 2 years with stepwise deterioration after each small stroke. MRI brain shows multiple lacunar infarcts. Which is the most likely diagnosis?

Accepted Answer

Vascular dementia

Answer

Alzheimer disease

Answer

Frontotemporal dementia

Answer

Lewy body dementia

Answer

Normal pressure hydrocephalus

Practice question

A 58-year-old man with hypertension and diabetes presents with progressive cognitive decline over 2 years with stepwise deterioration after each small stroke. MRI brain shows multiple lacunar infarcts. Which is the most likely diagnosis?