Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/2/2025

Post-Stroke Cognitive Impairment and Vascular Parkinsonism Management

Post-Stroke Cognitive Considerations

  • Post-stroke cognitive impairment (PSCI) occurs in up to 60% of stroke survivors in the first year, with up to one-third developing dementia within 5 years, according to the American Heart Association, emphasizing the need for screening and interdisciplinary management 1, 2
  • The American Stroke Association recommends proactive management of hypertension, diabetes, dyslipidemia, and atrial fibrillation to reduce the risk of post-stroke cognitive impairment and vascular parkinsonism 1, 2