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小血管疾病与记忆丧失:为保护患者大脑健康,临床医生需知的知识。

Small vessel disease and memory loss: what the clinician needs to know to preserve patients' brain health.

机构信息

Department of Neurology, University Hospitals Case Medical Center, 3619 Park East Drive, suite 211, Beachwood, OH, 44122, USA.

出版信息

Curr Cardiol Rep. 2013 Dec;15(12):427. doi: 10.1007/s11886-013-0427-6.

DOI:10.1007/s11886-013-0427-6
PMID:24105643
Abstract

Small vessel disease (SVD) in the brain manifests in the periventricular and deep white matter and radiographically is described as "leukoaraiosis". It is increasingly recognized as a cause of morbidity from middle age onward and this clinical relevance has paralleled advances in the field of neuroradiology. Overall, SVD is a heterogenous group of vascular disorders that may be asymptomatic, or a harbinger of many conditions that jeopardize brain health. Management and prevention focuses on blood pressure control, lifestyle modification, and symptomatic treatment.

摘要

脑小血管病(SVD)表现为脑室周围和深部白质,影像学上描述为“脑白质疏松症”。它越来越被认为是中年以后发病和致残的原因,这种临床相关性与神经放射学领域的进展是平行的。总的来说,SVD 是一组异质性的血管疾病,可能无症状,也可能是许多危及大脑健康的疾病的先兆。治疗和预防的重点是控制血压、改变生活方式和对症治疗。

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Cognitive decline and dementia in the oldest-old.高龄老人的认知衰退与痴呆症
Rambam Maimonides Med J. 2012 Oct 31;3(4):e0026. doi: 10.5041/RMMJ.10092. Print 2012 Oct.
3
The ASCOD phenotyping of ischemic stroke (Updated ASCO Phenotyping).缺血性脑卒中的 ASCOD 表型(更新后的 ASCO 表型)。
紧密连接蛋白-1和紧密连接蛋白-3作为脑白质疏松症患者髓鞘形成的分子调节因子
Clinics (Sao Paulo). 2021 May 17;76:e2167. doi: 10.6061/clinics/2021/e2167. eCollection 2021.
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Blood Pressure Control and Protection of the Aging Brain.血压控制与衰老大脑的保护。
Neurotherapeutics. 2019 Jul;16(3):569-579. doi: 10.1007/s13311-019-00747-y.
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Influence of vascular risk factors and neuropsychological profile on functional performances in CADASIL: results from the MIcrovascular LEukoencephalopathy Study (MILES).CADASIL 患者血管危险因素和神经心理学特征对功能表现的影响:来自微血管性脑白质病变研究(MILES)的结果。
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