Total magnetic resonance imaging burden of cerebral small-vessel disease is associated with post-stroke depression in patients with acute lacunar stroke.
Eur J Neurol
; 24(2): 374-380, 2017 02.
Article
em En
| MEDLINE
| ID: mdl-27933697
ABSTRACT
BACKGROUND AND PURPOSE:
Despite extensive studies on post-stroke depression (PSD), the role of the total burden of cerebral small-vessel disease (cSVD) in its pathogenesis remains unclear.METHODS:
We conducted a magnetic resonance imaging (MRI)-based cohort study to investigate the relationship between total MRI burden of cSVD and PSD among patients with first-ever lacunar stroke. From June 2013 to January 2016, 374 patients were consecutively recruited. PSD was identified using the Chinese version of the Structured Clinical Interview for DSM-IV. Brain MRI presence of silent lacunar infarcts, white-matter lesions, cerebral microbleeds and enlarged perivascular spaces was summed to an ordinal score between 0 and 4. Multivariable logistic regression analysis was performed to determine the contribution of total MRI cSVD burden in the prediction of PSD.RESULTS:
Ninety patients (24.1%) were diagnosed with PSD at 3 months after stroke. Only two MRI markers of cSVD, asymptomatic lacunar infarcts and white-matter lesions, were related to PSD [odds ratio (OR), 3.167; 95% confidence interval (CI), 1.879-5.338; P = 0.001 and OR, 2.284; 95% CI, 1.403-3.713; P = 0.001, respectively]. Moreover, higher total MRI cSVD burden was an independent predictor for PSD (high tertile OR, 4.577; 95% CI, 2.400-8.728; P = 0.001) after adjusting for individual cSVD MRI marker and other potential confounders.CONCLUSIONS:
This study demonstrated that greater total MRI burden of cSVD may predict the presence of PSD in patients with acute lacunar stroke.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Transtorno Depressivo
/
Doenças de Pequenos Vasos Cerebrais
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Acidente Vascular Cerebral Lacunar
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article