Department of Neurology, 544251 The First Affiliated Hospital of Chongqing Medical University , Chongqing, 400016, China.
Rev Neurosci. 2024 Feb 29;35(5):565-573. doi: 10.1515/revneuro-2023-0120. Print 2024 Jul 26.
Post-stroke depression (PSD) and post-stroke cognitive impairment (PSCI) are common complications following a stroke, significantly impacting the quality of life and survival time of survivors. Currently, the comorbidity of PSCI and PSD is receiving increasing attention, as they share some common clinical characteristics, mechanisms, risk factors, radiological features, and treatment strategies. They influence each other, with the clinical prevalence of PSD comorbid with PSCI reaching as high as 26.15 %. The prevention, screening, diagnosis, and treatment of PSD and PSCI require collaboration across clinical, radiological, and neuropsychological evaluations. This paper aims to summarize the common radiological features of both conditions from a radiological perspective, which may aid in identifying early screening and predictive imaging biomarkers.
脑卒中后抑郁(PSD)和脑卒中后认知障碍(PSCI)是脑卒中后的常见并发症,显著影响幸存者的生活质量和生存时间。目前,PSCI 和 PSD 的共病现象受到越来越多的关注,因为它们具有一些共同的临床特征、机制、危险因素、影像学特征和治疗策略。它们相互影响,PSD 共病 PSCI 的临床患病率高达 26.15%。PSD 和 PSCI 的预防、筛查、诊断和治疗需要临床、影像学和神经心理学评估的协作。本文旨在从影像学角度总结两种疾病的常见影像学特征,这可能有助于识别早期筛查和预测影像学生物标志物。