Microbleeds in vascular dementia: Clinical aspects

► Microbleeds are common in vascular dementia, with prevalences between 35% and 85%. ► Microbleeds are not mentioned in any current criteria of vascular dementia. ► Microbleeds in patients with vascular cognitive impairment relate to worse cognition. ► Microbleeds modestly predict future (vascular) dementia, mortality and disability. ► New diagnostic criteria for vascular dementia should take into account microbleeds.