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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Poggesi, A; Gouw, A; van der Flier, W; Pracucci, G; Chabriat, H; Erkinjuntti, T; Fazekas, F; Ferro, JM; Hennerici, M; Langhorne, P; O'Brien, JT; Visser, MC; Wahlund, LO; Waldemar, G; Wallin, A; Scheltens, P; Inzitari, D; Pantoni, L.
Cerebral white matter changes are associated with abnormalities on neurological examination in non-disabled elderly: the LADIS study.
J Neurol. 2013; 260(4):1014-1021 Doi: 10.1007/s00415-012-6748-3
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Co-Autor*innen der Med Uni Graz

Fazekas Franz

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Abstract:

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 ± 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.

Find related publications in this database (using NLM MeSH Indexing)

Activities of Daily Living -

Aged -

Aged, 80 and over -

Aging - pathology Aging - psychology

Analysis of Variance -

Cerebral Cortex - pathology

Disability Evaluation -

Disability Evaluation -

Female -

Follow-Up Studies -

Geriatric Assessment -

Humans -

Magnetic Resonance Imaging -

Male -

Nerve Fibers, Myelinated - pathology

Nervous System Diseases - pathology

Neurologic Examination -

Neuropsychological Tests -

Odds Ratio -

Find related publications in this database (Keywords)

White matter changes

Cerebrovascular diseases

Neurological examination

Neurological abnormalities

MRI

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