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Keywords
(18)
Apparent Diffusion Coefficient
Blood Pressure
Cognitive Dysfunction
Cognitive Function
Diffusion Weighted Images
Executive Function
Frontal Lobe
Normal Appearing White Matter
Rating Scale
Vascular Disease
Verbal Fluency
White Matter Lesions
Basal Ganglia
High Sensitivity
Instrumental Activities of Daily Living
Risk Factors
Region of Interest
White Matter
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Cognitive function correlates with frontal white matter apparent diffusion coefficients in patients with leukoaraiosis
Cognitive function correlates with frontal white matter apparent diffusion coefficients in patients with leukoaraiosis,10.1007/s00415-008-0661-9,Journ
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Cognitive function correlates with frontal white matter apparent diffusion coefficients in patients with leukoaraiosis
(
Citations: 4
)
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Miguel Viana-Baptista
,
Paulo Bugalho
,
Constança Jordão
,
Naide Ferreira
,
Álvaro Ferreira
,
Mário Forjaz Secca
,
José António Esperança-Pina
,
José Manuel Ferro
Background and aims Diffusion weighted imaging (DWI) displays a
high sensitivity
to
white matter
changes, even in areas where no lesions are visible. Correlation with vascular
risk factors
and
cognitive dysfunction
seems to be feasible using this technique. We aimed to test relations between age,
blood pressure
and cognitive function,with lesion load and average
Apparent Diffusion Coefficient
(ADC) values in lesioned (LWM) and in
normal appearing white matter
(NAWM), in patients with age related
white matter lesions
(ARWML). Methods Subjects were 29 patients (mean age 72.6 ± 5.2 years) with different severity of ARWML on MRI and no (or mild) disability assessed by the
Instrumental Activities of Daily Living
Scale. Imaging lesion load was quantified in bilateral frontal, temporal, parieto-occipital,
basal ganglia
and infratentorial regions, using a simple visual rating scale; ADC was measured bilaterally in Regions of Interest in parieto-occipital and frontal NAWM, and in frontal periventricular LWM. Neuropsychological examination consisted of Raven Colored Progressive Matrices, Rey’s Complex Figure, Digit Canceling. Symbol digit Substitution, Inverse Digit Repetition and
Verbal Fluency
tests. Results Visual scales scores and ADC were significantly higher in frontal and parieto-occipital regions. Both were significantly correlated to age and blood pressure, in frontal (visual scale scores and ADC) and parieto-occipital regions (ADC). Attention skills were negatively correlated to ADC in LWM and NAWM in frontal regions and with frontal region visual scale scores. Conclusion Our findings suggest that severity of
white matter
ischemic changes is correlated with worse cognitive function, as well as advanced age and higher blood pressure.A higher vulnerability of frontal
white matter
to
vascular disease
seems to play an important role in executive dysfunction, mainly determined by impairment of attentional skills.DWI results suggest this could be true even for NAWM.
Journal:
Journal of Neurology - J NEUROL
, vol. 255, no. 3, pp. 360-366, 2008
DOI:
10.1007/s00415-008-0661-9
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Citation Context
(1)
...There existed a significant association between white matter lesion load and severity of DTI and MTR measures in the normalappearing white matter with the microstructural changes in normal brain tissue being more closely related to the patients’ clinical presentation than the volume of visible white matter abnormalities [9, 32, 52, 61, 69, 70, 74,
92
, 93]...
Reinhold Schmidt
,
et al.
Heterogeneity in age-related white matter changes
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Citations
(4)
Age-Related Changes in White Matter Lesions, Hippocampal Atrophy, and Cerebral Microbleeds in Healthy Subjects Without Major Cerebrovascular Risk Factors
(
Citations: 2
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