Stroke, Vascular Dementia
Conditions
Keywords
cognition
Brief summary
The purpose of this study is to evaluate the efficacy of PDE-3 inhibitor, cilostazol, in prevention and treatment of vascular dementia, in those with brain white matter lesions and vascular risk factors.
Interventions
Cilostazol 100 mg bid for 12 months
Aspirin 100 mg qd for 12 months
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ranging from 40 to 80 years 2. After newly ischemic stroke from 3 months to 2 years 3. Brain CT or MRI shows stroke lesions and white matter lesions, ARWMC(Age Related White Matter Change)\>=4 4. Moderate or mild cognitive deficits: MMSE 12-26 5. Vascular or mixed dementia: Hachinski ischemic score\>4 6. Moderate or mild disability: MRS\<=4,NIHSS\<20 7. Informed consent
Exclusion criteria
1. Definitive diagnosis of dementia prior to the stroke 2. Cerebral hemorrhage in the past 3. Cerebral embolism result from cardiogenic embolus 4. Critically ills: MRS\>4,NIHSS\>=20 5. Bed-ridden patient who is hardly discovered newly stroke 6. patient with sever cardiac, hepatic or nephric complication 7. dementia caused not by vascular lesions 8. other diseases disturb the cognitive evaluation 9. susceptibility to varieties of allergen 10. abstain from Cilostazol or Asprin 11. antiplatelet treatment, anticoagulation or fibrinolysis are needed because of other diseases 12. rejected to participate by the patient or the family
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes of the scores of MMSE, MOCA,CDR,and Blessed-Roth | one year |
Secondary
| Measure | Time frame |
|---|---|
| stroke recurrence, other vascular ischemic events, bleeding events | one year |
Countries
China