The clinical profile of cerebral small vessel disease: Toward an evidence-based identification of cognitive markers.
cerebral small vessel disease
cerebrovascular disease
clinical profile
cognitive impairment
cognitive tests
dementia
differential diagnosis
meta-analysis
neuropsychological assessment
Journal
Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
revised:
21
01
2022
received:
30
07
2021
accepted:
14
02
2022
pubmed:
2
4
2022
medline:
18
1
2023
entrez:
1
4
2022
Statut:
ppublish
Résumé
There is no consensus on which test is more suited to outline the cognitive deficits of cerebral small vessel disease (cSVD) patients. We explored the ability of eight cognitive tests, selected in a previous systematic review as the most commonly used in this population, to differentiate among cSVD patients, controls, and other dementing conditions performing a meta-analysis of 86 studies. We found that cSVD patients performed worse than healthy controls in all tests while data on the comparison to neurodegenerative diseases were limited. We outlined a lack of data on these tests' accuracy on the diagnosis. Cognitive tests measuring processing speed were those mostly associated with neuroimaging cSVD markers. There is currently incomplete evidence that a single test could differentiate cSVD patients with cognitive decline from other dementing diseases. We make preliminary proposals on possible strategies to gain information about the clinical definition of cSVD that currently remains a neuroimaging-based one.
Identifiants
pubmed: 35362229
doi: 10.1002/alz.12650
pmc: PMC10084195
doi:
Types de publication
Meta-Analysis
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
244-260Informations de copyright
© 2022 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.
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