I've seen a young lady with vascular dementia. I thought it was F01.0 Vascular dementia in acute onset but on sleuthing it out over the last few weeks it seems it's in fact F01.1 Multi-infract dementia. I was interested 'cause I like to know (but not in such a psychopathic Gregory House sort of way) but also if it is acute then clever physicians could try and sort out why.
But this difference largely is irrelevant.
She has vascular dementia.
It's pretty classical. She has very well preserved "islands of ability" meaning some things are completely perfect. She can recognise faces and people, she can sequence tasks, she's good concentration, she's got mildly impaired memory, she's got only mild disorientation. She's no dyspraxia. She can manage buttons on her blouse, she managed her espresso coffee machine that looked as complex as the dashboard of the space shuttle, she managed to use fiddly buttons on her mobile 'phone to text a friend.
She has profound nominal aphasia. She knows what she wants/means, she just can't connect with what the word for that is. She was able to tell me she wanted "that thing" to stir a coffee but simply couldn't generate the word "teaspoon" at all.
This has had a significant impact on her, socially. She's stopped meeting friends, no longer enjoys her walks around the village to the bookshop and back, she's stopped having lunch in the local cafe every Tuesday "with the girls" as she used to, she's stopped going to antique/second hand shops and browsing for a certain type of pottery she likes to collect. Why? She's too self conscious that she can't speak fluidly any more.
She's bright, animated, intelligent, active and oh so very aware. But she's locked in. She's a massively constrained social repetoire as a consequence of her impaired expressive aphasia.