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Updated: Jul 13, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Cognitive performance after lacunar stroke correlates with leukoaraiosis severity
Aaron M McMurtray1, Alex Liao, Janelle Haider
1Department of Neurology, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA 90073, USA.
Leukoaraiosis, a condition often seen with lacunar stroke, significantly worsens cognitive function. This finding suggests that the combination of lacunar infarcts and leukoaraiosis is a frequent cause of vascular dementia.
Area of Science:
- Neurology
- Neuroimaging
- Cognitive Science
Background:
- Investigates the impact of leukoaraiosis on cognitive impairment following lacunar stroke.
- Focuses on patients with newly diagnosed lacunar stroke and cognitive deficits.
Purpose of the Study:
- To determine the association between leukoaraiosis and cognitive performance in lacunar stroke patients.
- To explore the role of leukoaraiosis severity in cognitive decline.
Main Methods:
- Neuropsychological testing was administered to 46 patients.
- Brain magnetic resonance imaging (MRI) was used to detect lacunar stroke and assess leukoaraiosis.
Main Results:
- Patients with both lacunar infarcts and leukoaraiosis showed poorer cognitive test results compared to those with lacunar infarcts only.
- A negative correlation was observed between the severity of leukoaraiosis and cognitive performance.
Conclusions:
- Leukoaraiosis presence in lacunar stroke patients is linked to diminished performance across various cognitive domains.
- Lacunar infarcts combined with leukoaraiosis represent a common cause of vascular dementia.
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