Medscape January 14, 2026
Neuropsychological assessment plays a central role in diagnosing vascular cognitive impairment and dementia (VCID), yet clinical approaches have varied widely for nearly two decades.
Newly updated, consensus-harmonized guidelines from the International Society for Vascular Behavioral and Cognitive Disorders (VasCog) aim to clarify which cognitive domains matter most, how testing can be structured efficiently, and how assessments can be adapted to modern clinical settings.
Developed by an international panel of experts, the VasCog neuropsychological (VasCog-NP) guidelines update and expand on the National Institute for Neurological Disorders and Stroke-Canadian Stroke Network (NINDS-CSN) recommendations published in 2006.
The authors describe the new guidance as offering a more comprehensive and flexible framework for VCID assessment, designed to support consistency while accommodating different clinical contexts.
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