Table : TABLE 15.9 • Key Facts About Different Types of Dementia
Dementia due to…Approximate percentage of all dementia casesPrognosis/courseOnsetGender difference
Alzheimer’s disease70%PoorGradual, often after age 65; early onset is rareSlightly more common among women than men
Vascular disease15% (often comorbid with Alzheimer’s type)Cognitive loss may remain stable or worsen in a stepwise fashion.Abrupt; earlier age of onset than Alzheimer’sMore common among men
Lewy bodies15% (can be comorbid with Alzheimer’s type)PoorGradual; age of onset is between 50 and 85Slightly more common among men than women
HIV infectionLess than 10%Poor unless treated with antiretroviral medicationGradual; depends on age at which HIV infection is acquiredEstimates of sex ratios vary, depending in part on the sex difference in HIV prevalence and the availability of antiretroviral treatment at the time a study is undertaken
Parkinson’s diseaseLess than 10%; often comorbid with Alzheimer’s type and/or vascular dementia; about 50% of patients with Parkinson’s disease develop dementiaPoorGradual; typical age of onset is in the 70sMore men than women develop Parkinson’s disease, and so men are more likely to develop this type of dementia
Huntington’s diseaseLess than 10%PoorGradual; onset usually occurs in the 40s or 50s.No sex difference
Head traumaUnknownDepends on the specific nature of the traumaUsually abrupt, after the head injuryUnknown, but most common among young men
Substance-inducedUnknownVariable, depends on the specific substance and deficitsGradual; in the 30s and beyondUnknown
Note: Most cases of dementia are caused by Alzheimer’s disease. However, dementia in a given person can arise from more than one cause, and the percentages in the second column reflect these comorbidities; for this reason, the numbers add up to more than 100%.