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Cerebral white matt...
Cerebral white matter changes are associated with abnormalities on neurological examination in non-disabled elderly: the LADIS study
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Poggesi, A. (author)
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Gouw, A. (author)
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van der Flier, W. (author)
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Pracucci, G. (author)
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Chabriat, H. (author)
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Erkinjuntti, T. (author)
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Fazekas, F. (author)
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Ferro, J. M. (author)
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Hennerici, M. (author)
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Langhorne, P. (author)
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O'Brien, J. T. (author)
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Visser, M. C. (author)
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- Wahlund, L. O. (author)
- Karolinska Institutet
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Waldemar, G. (author)
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- Wallin, Anders, 1950 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology
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Scheltens, P. (author)
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Inzitari, D. (author)
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Pantoni, L. (author)
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(creator_code:org_t)
- 2012-11-20
- 2013
- English.
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In: Journal of Neurology. - : Springer Science and Business Media LLC. - 0340-5354 .- 1432-1459. ; 260:4, s. 1014-1021
- Related links:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- Cerebral white matter changes (WMC) are associated with motor, cognitive, mood, urinary disturbances, and disability, but little is known about the prevalence of neurological signs in patients with these brain lesions. We assessed the presence and occurrence of neurological abnormalities over a 3-year period and their possible associations with WMC in a cohort of initially non-disabled elderly subjects. Data from the multicenter Leukoaraiosis And DISability study were used. A standard neurological examination was performed at baseline and at each of the annual follow-up visits. A standard MRI scan was performed at baseline and after 3-years. WMC severity was graded as mild, moderate, or severe on the Fazekas scale, while the Rotterdam scale was used to assess progression. Infarcts and their occurrence were also assessed. Six hundred and thirty-nine non-disabled subjects were enrolled (mean age 74.1 +/- A 5.0, M/F: 288/351). Severe WMC at baseline were associated with gait and stance abnormalities, upper motor signs, and fingertap slowing. This effect was independent of age, sex, lacunar and non-lacunar infarcts. The occurrence of stance abnormalities, upper motor signs, primitive reflexes and fingertap slowing during the 3-year follow-up period was associated with both baseline WMC load and their progression. The occurrence of the same abnormalities plus extrapyramidal and primitive reflexes was associated with incident lacunar infarcts. In our cohort of non-disabled elders, severe WMC were associated with the presence and the occurrence of neurological signs, independently of other vascular brain lesions, confirming that these lesions have clinical relevance.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
Keyword
- White matter changes
- Cerebrovascular diseases
- Neurological examination
- Neurological
- small vessel disease
- functional decline
- leukoaraiosis
- disability
- progression
- cognition
- dementia
- adults
- signs
- mri
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Poggesi, A.
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Gouw, A.
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van der Flier, W ...
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Pracucci, G.
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Chabriat, H.
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Erkinjuntti, T.
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show more...
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Fazekas, F.
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Ferro, J. M.
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Hennerici, M.
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Langhorne, P.
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O'Brien, J. T.
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Visser, M. C.
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Wahlund, L. O.
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Waldemar, G.
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Wallin, Anders, ...
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Scheltens, P.
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Inzitari, D.
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Pantoni, L.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Geriatrics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Radiology Nuclea ...
- Articles in the publication
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Journal of Neuro ...
- By the university
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University of Gothenburg
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Karolinska Institutet