Platelets play an important role in atherosclerosis, and increased platelet
activation is associated with stroke. Stroke is an important risk factor f
or dementia, as approximately 25% of the patients are demented after stroke
. In this review, we describe platelet activation studies in patients with
stroke and with dementia. In addition, we review the few studies that have
investigated the effect of antiplatelet medication such as aspirin and non-
steroidal anti-inflammatory drugs on cognitive function and the occurrence
of dementia, We conclude that further studies are needed to characterize th
e mechanisms and determinants of platelet activation in relation to the dev
elopment of dementia, Furthermore, the efficacy and safety of antiplatelet
intervention will have to be assessed in properly designed randomized trial
s.