When I Googled the listed “Subcortical Vascular Dementia” one of the sources which came up was
which included the quote:
Clinical SIVD features include sudden hemiparesis, dementia, dy- sarthria, pseudobulbar palsy, and changes in affect including inap- propriate laughing or crying, small-stepped gait, and urinary incontinence. Aphasia and hemianopsia are usually absent. The dis- tribution of lacunes in the subcortical gray matter and diffuse softening of the white matter, particularly of the frontal lobes, have been noted. Behavioral symptoms include lack of volition and akinetic mutism, which were thought to be characteristic of prefrontal lobe lesions.3
But a bit later:
Binswanger’s syndrome was first described by Otto Binswanger.7 [...] The clinical features of Binswanger’s include an insidiously progressive dementia, persistent hypertension or systemic vascular disease, lengthy clinical course with long plateaus, and the accumulation of focal neurologic signs including asymmetric weakness, pyramidal signs, pseudo bulbar palsy, and gait disturbances. The neurobehavioral symptoms include apathy, lack of drive, depression, and alterations of mood.
...hat tip to FReeper MarMema...
Urinary incontinence. Someone with an accurate nose should be able to verify that.
My father in law had vascular dementia. Started out really slow. At first we just thought he was getting hard of hearing. In noisy gatherings, etc. he’d just kind of ‘tune out’. That lasted for years and then it started getting worse. He figured out lots of ways to work around it and then bam! Hit him full force and was downhill fast from there. All in all the disease lasted about 8 years before he passed. The last 4 years were the worst.