Cognitive impairment in sporadic cerebral small vessel disease: A systematic review and meta‐analysis

This paper is a proposal for an update on the characterization of cognitive impairments associated with sporadic cerebral small vessel disease (SVD). We pose a series of questions about the nature of SVD‐related cognitive impairments and provide answers based on a comprehensive review and meta‐analy...

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Veröffentlicht in:Alzheimer's & dementia 2021-04, Vol.17 (4), p.665-685
Hauptverfasser: Hamilton, Olivia K. L., Backhouse, Ellen V., Janssen, Esther, Jochems, Angela C. C., Maher, Caragh, Ritakari, Tuula E., Stevenson, Anna J., Xia, Lihua, Deary, Ian J., Wardlaw, Joanna M.
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container_end_page 685
container_issue 4
container_start_page 665
container_title Alzheimer's & dementia
container_volume 17
creator Hamilton, Olivia K. L.
Backhouse, Ellen V.
Janssen, Esther
Jochems, Angela C. C.
Maher, Caragh
Ritakari, Tuula E.
Stevenson, Anna J.
Xia, Lihua
Deary, Ian J.
Wardlaw, Joanna M.
description This paper is a proposal for an update on the characterization of cognitive impairments associated with sporadic cerebral small vessel disease (SVD). We pose a series of questions about the nature of SVD‐related cognitive impairments and provide answers based on a comprehensive review and meta‐analysis of published data from 69 studies. Although SVD is thought primarily to affect executive function and processing speed, we hypothesize that SVD affects all major domains of cognitive ability. We also identify low levels of education as a potentially modifiable risk factor for SVD‐related cognitive impairment. Therefore, we propose the use of comprehensive cognitive assessments and the measurement of educational level both in clinics and research settings, and suggest several recommendations for future research.
doi_str_mv 10.1002/alz.12221
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L. ; Backhouse, Ellen V. ; Janssen, Esther ; Jochems, Angela C. C. ; Maher, Caragh ; Ritakari, Tuula E. ; Stevenson, Anna J. ; Xia, Lihua ; Deary, Ian J. ; Wardlaw, Joanna M.</creator><creatorcontrib>Hamilton, Olivia K. L. ; Backhouse, Ellen V. ; Janssen, Esther ; Jochems, Angela C. C. ; Maher, Caragh ; Ritakari, Tuula E. ; Stevenson, Anna J. ; Xia, Lihua ; Deary, Ian J. ; Wardlaw, Joanna M.</creatorcontrib><description>This paper is a proposal for an update on the characterization of cognitive impairments associated with sporadic cerebral small vessel disease (SVD). We pose a series of questions about the nature of SVD‐related cognitive impairments and provide answers based on a comprehensive review and meta‐analysis of published data from 69 studies. Although SVD is thought primarily to affect executive function and processing speed, we hypothesize that SVD affects all major domains of cognitive ability. We also identify low levels of education as a potentially modifiable risk factor for SVD‐related cognitive impairment. 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subjects Aging - physiology
cerebral small vessel disease
Cerebral Small Vessel Diseases - complications
Cognition
cognitive ability
Cognitive Dysfunction - etiology
Educational Status
Executive Function
Humans
lacunar stroke
Magnetic Resonance Imaging
meta‐analysis
Neuropsychological Tests
Stroke - complications
systematic review
vascular cognitive impairment
vascular dementia
title Cognitive impairment in sporadic cerebral small vessel disease: A systematic review and meta‐analysis
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