Vascular dementia (VaD) is the second neuropathology that causes dementia in older adults, a reason for this classification, diagnosis and management of the child of great importance worldwide.It is classified into: dementia of multiple infarctions, post-stroke dementia, subcortical ischemic vascular pathology, dementia due to small vessel disease, dementia of hypoperfusion and hereditary vascular dementia.Contrary to what is thought, today this pathology is a problem due to partial ignorance of its pathogenesis, where Alzheimer's disease could be participating, thus constituting a mixed dementia.Combined, there is no treatment that stops its progressive progress, however, it is used as: donezepilo, rivastigmine and galantamine, those that have cognitive functions.New research related to rescue and ornithine, despite this, the curative treatment of the disease remains uncertain.