In post-stroke patients, the occurrence of memory loss is likely to be due to vascular cognitive impairment, and the diagnosis of vascular cognitive impairment can be clarified by history, physical examination, cognitive assessment and neuroimaging.
Follow-up treatment based on the diagnosis may include the application of 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 doctor 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 rate of deterioration and prevent further deterioration of vascular dementia.
In addition, a combination of dietary adjustments to daily life and physical exercise can also help.