The Relationship between Cerebral White Matter Integrity and Cognitive Function in Mild Stroke with Basal Ganglia Region Infarcts

Mild stroke is a known risk factor for dementia. The relationship between cerebral white matter (WM) integrity and cognitive impairment (CI) in mild stroke patients with basal ganglia region infarcts is unknown. Total of 33 stroke patients and 19 age-matched controls underwent diffusion tensor imagi...

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Published inScientific reports Vol. 8; no. 1; pp. 8422 - 11
Main Authors Zuo, Li-Jun, Li, Zi-Xiao, Zhu, Rong-Yan, Chen, Yao-Jing, Dong, YanHong, Wang, Yi-Long, Zhao, Xing-Quan, Zhang, Zhan-Jun, Sachdev, Perminder, Zhang, Wei, Wang, Yong-Jun
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 30.05.2018
Nature Publishing Group
Subjects
59
59/36
64
692/53/2423
692/617/25
692/699/375/132
692/699/375/534
82
96
Basal ganglia
Cognitive ability
Dementia disorders
Fornix
Humanities and Social Sciences
Magnetic resonance imaging
Memory
multidisciplinary
Science
Science (multidisciplinary)
Stroke
Substantia alba
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Abstract Mild stroke is a known risk factor for dementia. The relationship between cerebral white matter (WM) integrity and cognitive impairment (CI) in mild stroke patients with basal ganglia region infarcts is unknown. Total of 33 stroke patients and 19 age-matched controls underwent diffusion tensor imaging scans and a formal neuropsychological test battery. CI was defined as having a performance score 1.5 SD below the established norm. We compared the differences in Z-scores and Fraction Anisotropy (FA) values among controls, stroke with no CI (NCI) and stroke with CI groups. Multiple linear regressions were performed between FA values in affected regions and neuropsychological tests in stroke patients. The majority of stroke patients were in their 50s (56.90 ± 9.23 years). CI patients exhibited a significantly decreased Z score in visual delayed memory and remarkably decreased FA values in the right external capsule and right fornix (FWE-corrected) compared with NCI patients and controls. In stroke patients, the FA value in the right fornix was positively correlated with delayed visual memory. Mild stroke with basal ganglia region infarcts may be related to widespread abnormality of WM integrity. The lower WM integrity in the right fornix may be a marker of impaired delayed visual memory.
AbstractList Mild stroke is a known risk factor for dementia. The relationship between cerebral white matter (WM) integrity and cognitive impairment (CI) in mild stroke patients with basal ganglia region infarcts is unknown. Total of 33 stroke patients and 19 age-matched controls underwent diffusion tensor imaging scans and a formal neuropsychological test battery. CI was defined as having a performance score 1.5 SD below the established norm. We compared the differences in Z-scores and Fraction Anisotropy (FA) values among controls, stroke with no CI (NCI) and stroke with CI groups. Multiple linear regressions were performed between FA values in affected regions and neuropsychological tests in stroke patients. The majority of stroke patients were in their 50s (56.90 ± 9.23 years). CI patients exhibited a significantly decreased Z score in visual delayed memory and remarkably decreased FA values in the right external capsule and right fornix (FWE-corrected) compared with NCI patients and controls. In stroke patients, the FA value in the right fornix was positively correlated with delayed visual memory. Mild stroke with basal ganglia region infarcts may be related to widespread abnormality of WM integrity. The lower WM integrity in the right fornix may be a marker of impaired delayed visual memory.
Abstract Mild stroke is a known risk factor for dementia. The relationship between cerebral white matter (WM) integrity and cognitive impairment (CI) in mild stroke patients with basal ganglia region infarcts is unknown. Total of 33 stroke patients and 19 age-matched controls underwent diffusion tensor imaging scans and a formal neuropsychological test battery. CI was defined as having a performance score 1.5 SD below the established norm. We compared the differences in Z-scores and Fraction Anisotropy (FA) values among controls, stroke with no CI (NCI) and stroke with CI groups. Multiple linear regressions were performed between FA values in affected regions and neuropsychological tests in stroke patients. The majority of stroke patients were in their 50s (56.90 ± 9.23 years). CI patients exhibited a significantly decreased Z score in visual delayed memory and remarkably decreased FA values in the right external capsule and right fornix (FWE-corrected) compared with NCI patients and controls. In stroke patients, the FA value in the right fornix was positively correlated with delayed visual memory. Mild stroke with basal ganglia region infarcts may be related to widespread abnormality of WM integrity. The lower WM integrity in the right fornix may be a marker of impaired delayed visual memory.
ArticleNumber 8422
Author Dong, YanHong
Wang, Yong-Jun
Li, Zi-Xiao
Zhu, Rong-Yan
Wang, Yi-Long
Zhang, Zhan-Jun
Sachdev, Perminder
Zhang, Wei
Zuo, Li-Jun
Chen, Yao-Jing
Zhao, Xing-Quan
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  organization: Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Department of Geriatrics, Beijing Tiantan Hospital, Capital Medical University, Key Laboratory for Neurodegenerative Disorders of the Ministry of Education, Capital Medical University, Beijing Institute for Brain Disorders, Capital Medical University, Beijing Key Laboratory on Parkinson disease
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  organization: Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Tiantan Clinical Trial and Research Center for Stroke, Beijing Tiantan Hospital, Capital Medical University, Vascular Neurology, Beijing Tiantan Hospital, Capital Medical University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29849078$$D View this record in MEDLINE/PubMed
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Snippet Mild stroke is a known risk factor for dementia. The relationship between cerebral white matter (WM) integrity and cognitive impairment (CI) in mild stroke...
Abstract Mild stroke is a known risk factor for dementia. The relationship between cerebral white matter (WM) integrity and cognitive impairment (CI) in mild...
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SubjectTerms 59
59/36
64
692/53/2423
692/617/25
692/699/375/132
692/699/375/534
82
96
Basal ganglia
Cognitive ability
Dementia disorders
Fornix
Humanities and Social Sciences
Magnetic resonance imaging
Memory
multidisciplinary
Science
Science (multidisciplinary)
Stroke
Substantia alba
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Title The Relationship between Cerebral White Matter Integrity and Cognitive Function in Mild Stroke with Basal Ganglia Region Infarcts
URI https://link.springer.com/article/10.1038/s41598-018-26316-5
https://www.ncbi.nlm.nih.gov/pubmed/29849078
https://www.proquest.com/docview/2047225467
https://search.proquest.com/docview/2047920547
https://pubmed.ncbi.nlm.nih.gov/PMC5976674
Volume 8
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