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脑小血管病脑白质高信号与认知障碍的关系研究进展

王兴 陈奕奕 王伊龙

中国卒中杂志2019,Vol.14Issue(11):1146-1152,7.
中国卒中杂志2019,Vol.14Issue(11):1146-1152,7.DOI:10.3969/j.issn.1673-5765.2019.11.013

脑小血管病脑白质高信号与认知障碍的关系研究进展

Advances in the Relationship between White Matter Hyperintensity and Cognitive Impairment in Cerebral Small Vessel Disease

王兴 1陈奕奕 2王伊龙3

作者信息

  • 1. 1400015 重庆重庆大学附属中心医院神经内科
  • 2. 首都医科大学附属北京天坛医院神经病学中心
  • 3. 国家神经系统疾病临床医学研究中心
  • 折叠

摘要

Abstract

Cerebral small vascular disease (CSVD) is one of the most common age-related cerebrovascular diseases. White matter hyperintensity (WMH) of presumed vascular origin is one of the imaging markers of CSVD. The prevalence of WMH is extremely high, and which is closely related to the occurrence and development of cognitive impairment. However, the heterogeneity of imaging manifestations and clinical symptoms of WMH brings some difficulties to early detection and diagnosis. What’s more, the potential mechanism for disease development is not clear, so it leads to a relative lag in prevention and treatment of these diseases. This paper reviewed the current state of research on the mechanisms of cognitive impairment in the development of WMH from pathology, imaging and biology, and summarized the current treatment strategies, and raised some research objectives and directions in the next, for example, to establish the biomarkers and prediction model for assessing prognosis, to explore pathophysiological mechanism of WMH development, and find new potential targets for early intervention.

关键词

脑小血管病/脑白质高信号/认知障碍

Key words

Cerebral small vascular disease/White matter hyperintensity/Cognitive impairment

引用本文复制引用

王兴,陈奕奕,王伊龙..脑小血管病脑白质高信号与认知障碍的关系研究进展[J].中国卒中杂志,2019,14(11):1146-1152,7.

基金项目

国家自然科学基金委员会杰出青年科学基金项目(81825007)北京高校卓越青年科学家计划项目(BJJWZYJH 01201910025030)科技部"十三五"国家重点研发计划"症状性颅内外大动脉狭窄复发进展预测模型与干预策略研究"(2017YFC1307900)北京市科学技术委员会"动脉粥样硬化性颅内动脉狭窄的他汀药物治疗研究"(D171100003017001)北京市优秀人才培养资助青年拔尖团队项目(2016000021223TD03) (81825007)

中国卒中杂志

OACSTPCD

1673-5765

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