Impaired blood flow to the brain may cause problems with reasoning, planning, and even to the extent of memory loss. It may be from an imbalance in glucose utilization, diabetes. This is a condition known as vascular dementia. Regular physical activity can affect the physical and cognitive function of people with dementia and it can consequently lead to vascular dementia lesions. Vascular frequently appears in the brain with vascular dementia. Using 450-500 words explain the pathophysiology of vascular dementia with the required treatment modality.