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The major neurocognitive disorders of vascular type are the second cause of dementias in Latin American countries. This is due
to the cultural influences that permeate life in our countries: Stress, the amount of work hours, sedentary lifestyle, and poor
diet, generally unbalanced and rich in salts, fats and fried foods. Diseases of high prevalence in our environment such as diabetes
and hypertension contribute to the high rate of cerebrovascular events that manifest acutely or chronically to attack the brain in
areas essential for the development of social cognition, and also the constructions affective. In this way, we can observe in this type
of patient’s apathy, poor affective performance in terms of expression of emotions, alterations in chronobiological rhythms (with
symptomatic manifestations such as insomnia and changes in mood) and also slowing down in decision-making at the expense of the
decrease in the action of the superior cerebral functions, and also pictures of disinhibition characteristic of frontotemporal dementias.
In this lecture, we propose to present in a detailed manner the aforementioned clinical expressions that have their origin in vascular
alterations in the brain, and that decrease the time and quality of life of the affected people.
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