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Updated: May 24, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Neurobehavioral dysfunction in patients with subcortical vascular mild cognitive impairment and subcortical vascular
Juhee Chin1, Sang Won Seo, Sook Hui Kim
1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Abstract:
Amnestic mild cognitive impairment (MCI) is considered to be a prodromal stage of Alzheimer's disease. Likewise, subcortical vascular MCI (svMCI) is considered as a prodromal stage of subcortical vascular dementia (SVaD). The objective of this study was to investigate neuropsychiatric features in patients with svMCI compared to healthy controls and patients with SVaD. We evaluated 31 patients with svMCI, 42 with SVaD, and 28 healthy controls who underwent neuropsychiatric assessments using the Neuropsychiatric Inventory (NPI) and the Frontal Behavioral Inventory (FBI). On both the NPI and FBI, SVaD patients had the most severe neuropsychiatric symptoms, followed by svMCI patients and then healthy controls, suggesting that svMCI might be a prodromal stage of SVaD in terms of neuropsychiatric abnormalities. When we compared the differences of mean scores between negative and positive symptoms in FBI, negative symptoms tended to be more predominant than positive symptoms in both svMCI and SVaD patients, but the tendency was stronger in SVaD patients than in svMCI patients. These results suggest that vascular cognitive impairment with small vessel disease would start with both negative and positive neuropsychiatric symptoms and progress to present more severe negative symptoms. These behavioral ratings may be useful for early detection of vascular cognitive impairment associated with small vessel disease.
Insights
Subcortical vascular mild cognitive impairment (svMCI) shows neuropsychiatric symptoms, potentially indicating a prodromal stage of subcortical vascular dementia (SVaD). Early detection of these symptoms is crucial for managing vascular cognitive impairment.
Area of Science:
- Neurology
- Neuropsychology
- Geriatrics
Background:
- Amnestic mild cognitive impairment (MCI) is a precursor to Alzheimer's disease.
- Subcortical vascular MCI (svMCI) is recognized as a potential prodromal stage of subcortical vascular dementia (SVaD).
Purpose of the Study:
- To investigate and compare neuropsychiatric features in patients with svMCI, SVaD, and healthy controls.
- To explore the progression of neuropsychiatric symptoms in vascular cognitive impairment.
Main Methods:
- Neuropsychiatric assessments were conducted on 31 svMCI patients, 42 SVaD patients, and 28 healthy controls.
- The Neuropsychiatric Inventory (NPI) and Frontal Behavioral Inventory (FBI) were utilized for symptom evaluation.
Main Results:
- SVaD patients exhibited the most severe neuropsychiatric symptoms, followed by svMCI patients, and then healthy controls.
- Negative symptoms were more predominant than positive symptoms in both svMCI and SVaD patients, with a stronger tendency in SVaD.
- svMCI patients displayed a milder but similar pattern of neuropsychiatric symptoms compared to SVaD patients.
Conclusions:
- Neuropsychiatric abnormalities in svMCI suggest it may be a prodromal stage of SVaD.
- Vascular cognitive impairment begins with both negative and positive neuropsychiatric symptoms, progressing to more severe negative symptoms.
- Behavioral ratings can aid in the early detection of vascular cognitive impairment associated with small vessel disease.
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