What to do if a post-stroke patient has sudden memory loss

In post-stroke patients, the occurrence of memory loss is likely to be due to vascular cognitive impairment. The diagnosis of vascular cognitive impairment can be clarified by history, physical examination, cognitive assessment, and neuroimaging.
Follow-up treatment based on the diagnosis can be applied with cholinesterase inhibitors (e.g., donepezil, galantamine, and carboplatin) and NMDA receptor antagonists (memantine) to improve the patient’s cognitive function. Butalbital, nimodipine, and ginkgo biloba preparations may also be effective.
It is also important to focus on managing the patient’s health status, as well as controlling risk factors for vascular dementia. Depending on the individual patient’s condition, the physician may prescribe blood pressure-lowering drugs, lipid-lowering drugs, anticoagulants, and glucose-lowering drugs. Controlling the risk factors for vascular dementia can slow down the deterioration of vascular dementia and prevent it from further deterioration.
In addition, comprehensive adjustments to daily diet and physical exercise can also help.

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