Subcortical Vascular dementia: gait, equilibrium and apathy

Subcortical VaD (sVAD) now incorporates the old entities ‘lacunar state’ and ‘Binswanger disease’ and relates to small vessel disease and hypoperfusion resulting in focal and diffuse ischaemic white matter lesions and incomplete ischaemic injury. Gait and equilibrium are fundamental patterns of every day’s common life and functional independence measures. At the same time, apathy is a main dominant clinical presentation of sVAD, very important in caregiving and life expectance. Though, even not widely considered, these two important, almost fundamental, clinical entities have not been considered widely. We try to detect a definite role of them in sVAD and relate their relationship with anatomical neural system disruption