白质过强度调解了莫亚莫亚病中虚弱和认知障碍之间的关联
Juan Du1, Changhua Qu2, Ziwei Xu1
1Department of Neurology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Clinical neurology and neurosurgery
|April 12, 2024
概括
虚弱与莫亚莫亚病 (MMD) 的认知衰退有关. 白质超强度 (WMHs) 部分解释了这种联系,突出了它们在MMD相关认知障碍中的作用.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 认知障碍和虚弱是莫亚莫亚病 (MMD) 的重要问题.
- 在MMD中关联虚弱和认知功能障碍的潜在机制尚不清楚.
- 白质过强度 (WMHs) 与脑血管疾病有关,可能在认知衰退中发挥作用.
研究的目的:
- 为了研究患有莫亚莫亚病的患者的虚弱和认知功能之间的关联.
- 确定白质超强度 (WMHs) 是否调解了MMD中的脆弱性和认知障碍之间的关系.
主要方法:
- 评估了85名MMD患者的虚弱 (临床虚弱量表) 和认知功能.
- 量化了区域深层WMH (DWMH) 和周周结膜WMH (PWMH) 的数量.
- 使用多变量逻辑回归和调解分析来检查关联和调解效应.
主要成果:
- 虚弱与受损的学习,记忆,处理速度,执行功能和语义记忆显著相关.
- 虚弱性独立预测记忆和执行功能缺陷,即使考虑到WMHs.
- 包括DWMH和PWMH在内的WMH部分介导了记忆和执行功能的虚弱和认知障碍之间的关系.
结论:
- 虚弱是MMD认知障碍的重要危险因素.
- 白质过强度部分介导了MMD患者的虚弱和认知衰退之间的联系.
更多相关视频
07:30Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
3.0K
05:19A Mouse Model for Vascular Cognitive Impairment and Dementia Based on Needle-guided Asymmetric Bilateral Common Carotid Artery Stenosis
Published on: November 22, 2024
466
相关概念视频
Alzheimer's Disease: Overview
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Alzheimer Disease l: Introduction
Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Alzheimer Disease ll: Pathophysiology
Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Dementia l: Introduction
Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
