Editorial Neuropsychological Assessment Sense and Sensibility

Research on vascular factors in dementia and vascularcognitive impairment has gone through some major developments the past decades. Until 1993, the term multi-infarct dementia was used to distinguish dementia caused by one or more infarctions from Alzheimer disease.1 Research on cognitive functioning aimed at obvious cognitive impair-ment after a stroke, that was generally quantified with dementia screening methods. In 1993, the first set of diag-nostic criteria of vascular dementia was introduced, which led to an expansion in the number of publications on the subject.2 In these criteria, several vascular mechanisms, pathology, and circumscript lesions or localizations were defined that may lead to vascular dementia. As the field evolved, new insights arose, accompanied with the acknowledgment that not all cognitive decline fulfilled the criteria of dementia. The concept of vascular cognitive impairment was formulated a