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Neurology:额颞叶痴呆者中,白质高信号病变和神经退行性变密切相关

2021-04-29 Freemann MedSci原创

额颞叶痴呆者中,白质高信号病变和神经退行性变密切相关

白质高信号病变(WMH)是T2加权MRI上的高强化信号区域。WMH随着年龄的增长越来越常见,并反映小血管疾病负担。WMH体积与认知障碍和痴呆的风险有关,包括阿尔茨海默病(AD)。然而,重要的是,阿尔茨海默病的WMH可能是由疾病病理而非血管变化引起的,据报道,在脑萎缩和tau沉积增加的区域,WMH会增加。 在额颞叶痴呆症( behavioral-variant FTD)中,只有少数的队列和病例研究,而且只在FTD的遗传病例中进行。特别是,与对照组相比,丙种球蛋白(GRN)突变携带者的WMH体积增加,但在C9orf72扩增和MAPT突变的病例中没有报道。目前,对WMH的研究主要集中在WMH的总负担上。许多研究没有探讨与疾病和血管因素的关系,并将认知调查限制在选择性的领域。这些局限性因使用准确度和可靠性较低的视觉评分量表和粗略的解剖分区而变得更加复杂。 藉此,澳大利亚新南威尔士大学的Katharine Huynh等人,全面地描述FTD和AD的WMH特征。探究了全脑WMH体积和分布与脑萎缩、疾病严重程度、血管风险和认知能力的关系。 提出假设:(1)患者的WMH体积比对照组大,在不同的疾病之间没

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    2021-10-24 yinhl1978
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    2021-04-29 junJUN

    老年人痴呆何药可用??

    0

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