In a 64‑year‑old man with hypertension and diabetes, progressive memory loss over one year, MMSE (Mini‑Mental State Examination) 27/30 with short‑term memory deficits but preserved instrumental activities, and MRI showing periventricular white‑matter changes, which is the most likely diagnosis: normal aging, vascular dementia, early Alzheimer disease, frontotemporal degeneration, or mild cognitive impairment?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 14, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What are the approved treatments for vascular dementia in Mexico?
What is the treatment for vascular dementia?
What is the pathophysiology and management of vascular dementia?
What is the treatment for vascular dementia with frontotemporal atrophy?
What are the treatment options for Vascular Dementia?
What is the appropriate evaluation and management of an anterior communicating artery aneurysm, including imaging, blood pressure control, and treatment options for ruptured and unruptured lesions?
What are the characteristic histologic features of giant cell (temporal) arteritis and the recommended first‑line treatment?
For an adult patient with type 1 or type 2 diabetes, what statin regimen (intensity and dosage) is recommended based on age and cardiovascular risk factors?
Can I administer immediate‑release oxycodone on a scheduled every‑4‑hour basis to an adult opioid‑naïve patient with acute severe pain and normal renal and hepatic function?
Should a 28-year-old woman be concerned about new or increasing eye floaters?
What are the types of uterine fibroid degeneration and the recommended management for each, particularly acute red degeneration in a reproductive‑age woman?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.

Ask Question