Does vascular dementia get worse?

Vascular dementia can get worse. Vascular dementia is dementia in which brain function is impaired by cerebral infarction or hemorrhage, and symptoms of dementia progress as cerebrovascular disease progresses or recurs.
Most vascular dementia develops after the age of 60, with a history of stroke, and has a stepwise progression and fluctuating course, characterized by significant cognitive impairment to the point of dementia, accompanied by signs and symptoms of focal neurological damage. However, some dementias caused by subcortical small vessel disease may be slow-onset and progressive, without a clear clinical history of stroke.
Patients need to have strict control over blood pressure levels and can also use drugs such as donepezil and risperidone to control the progression of the disease. Consult the doctor as early as possible, actively cooperate with the doctor’s treatment, strictly follow the doctor’s prescription of medication, and regular follow-up.