Cognitive and psychological characteristics in patients with Cerebral Amyloid Angiopathy: a literature review.

Cerebral amyloid angiopathy Cognitive factors Evaluation Psychological factors

Journal

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175

Informations de publication

Date de publication:
22 Feb 2024
Historique:
received: 11 09 2023
accepted: 08 02 2024
medline: 23 2 2024
pubmed: 23 2 2024
entrez: 22 2 2024
Statut: aheadofprint

Résumé

To review the current data on cognitive and psychological characteristics of patients with CAA and on the instruments used for their evaluation. A systematic search was performed in Embase, Scopus and PubMed with terms related to "cerebral amyloid angiopathy", "neuropsychological measures" and "patient-reported outcome measures" from January 2001 to December 2021. Out of 2851 records, 18 articles were selected. The cognitive evaluation was present in all of which, while the psychological one only in five articles. The MMSE (Mini Mental State Examination), TMT (Trail Making Test), fluency test, verbal learning test, digit span, digit symbol and Rey figure tests were the most used cognitive tests, while executive function, memory, processing speed, visuospatial function, attention and language were the most frequent impaired cognitive functions. Depression was the most considered psychological factor usually measured with BDI (Beck Depression Inventory) and GDS (Geriatric Depression Scale). The results of this study might be used in clinical practice as a guide to choose cognitive and psychological instruments and integrate them in the clinical evaluation. The results might also be used in the research field for studies investigating the impact of cognitive and psychological variables on the disease course and for consensus studies aimed at define a standardized evaluation of these aspects.

Identifiants

pubmed: 38388894
doi: 10.1007/s10072-024-07399-7
pii: 10.1007/s10072-024-07399-7
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Fondazione Società Italiana di Neurologia.

Références

Revesz T et al (2003) Cerebral amyloid angiopathies: A pathologic, biochemical, and genetic view. J Neuropathol Exp Neurol 62(9):885–898. https://doi.org/10.1093/jnen/62.9.885
doi: 10.1093/jnen/62.9.885 pubmed: 14533778
Van Etten ES et al (2016) Recurrent hemorrhage risk and mortality in hereditary and sporadic cerebral amyloid angiopathy. Neurology 87(14):1482–1487. https://doi.org/10.1212/WNL.0000000000003181
doi: 10.1212/WNL.0000000000003181 pubmed: 27590282 pmcid: 5075977
Viswanathan A, Greenberg SM (2011) Cerebral amyloid angiopathy in the elderly. Ann Neurol 70(6):871–880. https://doi.org/10.1002/ana.22516
doi: 10.1002/ana.22516 pubmed: 22190361 pmcid: 4004372
Greenberg SM, Charidimou A (2018) Diagnosis of cerebral amyloid angiopathy evolution of the Boston criteria. Stroke 49(2):491–497. https://doi.org/10.1161/STROKEAHA.117.016990
doi: 10.1161/STROKEAHA.117.016990 pubmed: 29335334 pmcid: 5892842
Charidimou A et al (2022) The Boston criteria version 2.0 for cerebral amyloid angiopathy: a multicentre, retrospective, MRI–neuropathology diagnostic accuracy study. Lancet Neurol 21(8):714–725. https://doi.org/10.1016/S1474-4422(22)00208-3
doi: 10.1016/S1474-4422(22)00208-3 pubmed: 35841910 pmcid: 9389452
Lovelock C, Molyneux A, Rothwell P (2007) Change in incidence and aetiology of intracerebral haemorrhage in Oxfordshire, UK, between 1981 and 2006: a population-based study. Lancet Neurol 6(6):487–493. https://doi.org/10.1016/S1474-4422(07)70107-2
doi: 10.1016/S1474-4422(07)70107-2 pubmed: 17509483
Theodorou A et al (2023) Clinical, Neuroimaging, and Genetic Markers in Cerebral Amyloid Angiopathy-Related Inflammation: A Systematic Review and Meta-Analysis. Stroke 54(1):178–188. https://doi.org/10.1161/STROKEAHA.122.040671
doi: 10.1161/STROKEAHA.122.040671 pubmed: 36453271
Malhotra K et al (2022) Prevalence of Clinical and Neuroimaging Markers in Cerebral Amyloid Angiopathy: A Systematic Review and Meta-Analysis. Stroke 53(6):1944–1953. https://doi.org/10.1161/STROKEAHA.121.035836
doi: 10.1161/STROKEAHA.121.035836 pubmed: 35264008
Schrag M et al (2010) Correlation of hypointensities in susceptibility-weighted images to tissue histology in dementia patients with cerebral amyloid angiopathy: A postmortem MRI study. Acta Neuropathol 119(3):291–302. https://doi.org/10.1007/s00401-009-0615-z
doi: 10.1007/s00401-009-0615-z pubmed: 19937043 pmcid: 2916065
Linn J et al (2010) Prevalence of superficial siderosis in patients with cerebral amyloid angiopathy. Neurology 74(17):1346–1350. https://doi.org/10.1212/WNL.0b013e3181dad605
doi: 10.1212/WNL.0b013e3181dad605 pubmed: 20421578 pmcid: 2875936
Auriel E et al (2014) Microinfarct disruption of white matter structure: A longitudinal diffusion tensor analysis. Neurology 83(2):182–188. https://doi.org/10.1212/WNL.0000000000000579
doi: 10.1212/WNL.0000000000000579 pubmed: 24920857 pmcid: 4117171
Wermer MJH, Greenberg SM (2018) The growing clinical spectrum of cerebral amyloid angiopathy. Curr Opin Neurol 31(1):28–35. https://doi.org/10.1097/WCO.0000000000000510
doi: 10.1097/WCO.0000000000000510 pubmed: 29120920
Boyle PA et al (2015) Cerebral amyloid angiopathy and cognitive outcomes in community-based older persons. Neurology 85(22):1930–1936. https://doi.org/10.1212/WNL.0000000000002175
doi: 10.1212/WNL.0000000000002175 pubmed: 26537052 pmcid: 4664125
Arvanitakis Z, Leurgans SE, Wang Z, Wilson RS, Bennett DA, Schneider JA (2011) Cerebral amyloid angiopathy pathology and cognitive domains in older persons. Ann Neurol 69(2):320–327. https://doi.org/10.1002/ana.22112
doi: 10.1002/ana.22112 pubmed: 21387377
David ND, Lin F (2016) Trajectories of neuropsychiatric symptoms and cognitive decline in mild cognitive impairment. Am J Geriatr Psychiatry 24(1):70–80. https://doi.org/10.1016/j.jagp.2015.06.001
doi: 10.1016/j.jagp.2015.06.001 pubmed: 26525995
Wadsworth LP, Lorius N, Donovan NJ, Locascio JJ, Rentz DM, Johnson KA, Sperling RA (2012) Neuropsychiatric symptoms and global functional impairment along the Alzheimer’s continuum. Dement Geriatr Cogn Disord 34(2):96–111. https://doi.org/10.1159/000342119
doi: 10.1159/000342119 pubmed: 22922821
Gahr M, Nowak DA, Connemann BJ, Schönfeldt-Lecuona C (2013) Cerebral amyloidal angiopathy - A disease with implications for neurology and psychiatry. Brain Res 1519:19–30. https://doi.org/10.1016/j.brainres.2013.04.052
doi: 10.1016/j.brainres.2013.04.052 pubmed: 23651976
Gleason A, Hayhow B, Emmanuel J, Gaillard F (2014) Cerebral amyloid angiopathy presenting with neuropsychiatric symptoms. Aust N Z J Psychiatry 48(8):779–780. https://doi.org/10.1177/0004867414525843
doi: 10.1177/0004867414525843 pubmed: 24563197
Costa AS, Pinho J, Kučikienė D, Reich A, Schulz JB, Reetz K (2021) Cerebral Amyloid Angiopathy in Amyloid-Positive Patients from a Memory Clinic Cohort. J Alzheimer’s Dis 79(4):1661–1672. https://doi.org/10.3233/JAD-201218
doi: 10.3233/JAD-201218
Su Y, Fu J, Zhang Y, Xu J, Dong Q, Cheng X (2021) Visuospatial dysfunction is associated with posterior distribution of white matter damage in non-demented cerebral amyloid angiopathy. Eur J Neurol 28(9):3113–3120. https://doi.org/10.1111/ene.14993
doi: 10.1111/ene.14993 pubmed: 34157199
Raposo N et al (2021) Peak width of skeletonized mean diffusivity as neuroimaging biomarker in cerebral amyloid angiopathy. Am J Neuroradiol 42(5):875–881. https://doi.org/10.3174/AJNR.A7042
doi: 10.3174/AJNR.A7042 pubmed: 33664113 pmcid: 8115367
Jang YK et al (2017) Distinctive Clinical Effects of Haemorrhagic Markers in Cerebral Amyloid Angiopathy. Sci Rep 7(1):1–8. https://doi.org/10.1038/s41598-017-16298-1
doi: 10.1038/s41598-017-16298-1
Alber J et al (2021) The relationship between cerebral and retinal microbleeds in cerebral amyloid angiopathy (CAA): A pilot study. J Neurol Sci 423(Marc):117383. https://doi.org/10.1016/j.jns.2021.117383
doi: 10.1016/j.jns.2021.117383 pubmed: 33684655
Jang H et al (2019) Clinical significance of amyloid β positivity in patients with probable cerebral amyloid angiopathy markers. Eur J Nucl Med Mol Imaging 46(6):1287–1298. https://doi.org/10.1007/s00259-019-04314-7
doi: 10.1007/s00259-019-04314-7 pubmed: 30937462
McCreary CR et al (2020) Cross-sectional and longitudinal differences in peak skeletonized white matter mean diffusivity in cerebral amyloid angiopathy. NeuroImage Clin 27(September 2019):102280. https://doi.org/10.1016/j.nicl.2020.102280
doi: 10.1016/j.nicl.2020.102280 pubmed: 32521475 pmcid: 7284130
Xiong L et al (2016) Cognitive Profile and its Association with Neuroimaging Markers of Non-Demented Cerebral Amyloid Angiopathy Patients in a Stroke Unit. J Alzheimer’s Dis 52(1):171–178. https://doi.org/10.3233/JAD-150890
doi: 10.3233/JAD-150890
Case NF et al (2016) Cerebral Amyloid Angiopathy is Associated with Executive Dysfunction and Mild Cognitive Impairment. Stroke 47(8):2010–2016. https://doi.org/10.1161/STROKEAHA.116.012999
doi: 10.1161/STROKEAHA.116.012999 pubmed: 27338926
Van Den Brink H et al (2018) Cortical microinfarcts on 3T magnetic resonance imaging in cerebral amyloid angiopathy relations with other magnetic resonance imaging markers of cerebral amyloid angiopathy and cognition. Stroke 49(8):1899–1905. https://doi.org/10.1161/STROKEAHA.118.020810
doi: 10.1161/STROKEAHA.118.020810 pubmed: 29986931
Valenti R et al (2017) Visuospatial Functioning in Cerebral Amyloid Angiopathy: A Pilot Study. J Alzheimer’s Dis 56(4):1223–1227. https://doi.org/10.3233/JAD-160927
doi: 10.3233/JAD-160927
Reijmer YD et al (2015) Structural network alterations and neurological dysfunction in cerebral amyloid angiopathy. Brain 138(1):179–188. https://doi.org/10.1093/brain/awu316
doi: 10.1093/brain/awu316 pubmed: 25367025
Schoemaker D et al (2021) Association of Memory Impairment With Concomitant Tau Pathology in Patients With Cerebral Amyloid Angiopathy. Neurology 96(15):e1975–e1986. https://doi.org/10.1212/WNL.0000000000011745
doi: 10.1212/WNL.0000000000011745 pubmed: 33627498 pmcid: 8166424
Smith EE et al (2021) Cerebral amyloid angiopathy is associated with emotional dysregulation, impulse dyscontrol, and apathy. J Am Heart Assoc 10(22):1–9. https://doi.org/10.1161/JAHA.121.022089
doi: 10.1161/JAHA.121.022089
Planton M et al (2017) High prevalence of cognitive impairment after intracerebral hemorrhage. PLoS ONE 12(6):1–13. https://doi.org/10.1371/journal.pone.0178886
doi: 10.1371/journal.pone.0178886
Xiong L et al (2018) Cerebral cortical microinfarcts on magnetic resonance imaging and their association with cognition in cerebral amyloid angiopathy. Stroke 49(10):2330–2336. https://doi.org/10.1161/STROKEAHA.118.022280
doi: 10.1161/STROKEAHA.118.022280 pubmed: 30355109 pmcid: 6209124
Sreedharan S, Thomas B, Sylaja P, Sarma S (2020) Cerebral Amyloid Angiopathy: A Clinico-Radiological Study from South India. Neurol India 68(2):378–382. https://doi.org/10.4103/0028-3886.280646
doi: 10.4103/0028-3886.280646 pubmed: 32189707
Matsuda K et al (2021) Investigation of hypertensive arteriopathy-related and cerebral amyloid angiopathy-related small vessel disease scores in patients from a memory clinic: A prospective single-centre study. BMJ Open 11(4):042550. https://doi.org/10.1136/bmjopen-2020-042550
doi: 10.1136/bmjopen-2020-042550
Attems J, Jellinger KA, Lintner F (2005) Alzheimer’s disease pathology influences severity and topographical distribution of cerebral amyloid angiopathy. Acta Neuropathol 110(3):222–231. https://doi.org/10.1007/s00401-005-1064-y
doi: 10.1007/s00401-005-1064-y pubmed: 16133541
Ghafar MZAA, Miptah HN, O’Caoimh R (2019) Cognitive screening instruments to identify vascular cognitive impairment: A systematic review. Int J Geriatr Psychiatry 34(8):1114–1127. https://doi.org/10.1002/gps.5136
doi: 10.1002/gps.5136 pubmed: 31050033
Firbank MJ et al (2012) Relationship between progression of brain white matter changes and late-life depression: 3-Year results from the LADIS study. Br J Psychiatry 201(1):40–45. https://doi.org/10.1192/bjp.bp.111.098897
doi: 10.1192/bjp.bp.111.098897 pubmed: 22626634
Herrmann LL, Le Masurier M, Ebmeier KP (2008) White matter hyperintensities in late life depression: A systematic review. J Neurol Neurosurg Psychiatry 79(6):619–624. https://doi.org/10.1136/jnnp.2007.124651
doi: 10.1136/jnnp.2007.124651 pubmed: 17717021
Enache D, Winblad B, Aarsland D (2011) Depression in dementia: Epidemiology, mechanisms, and treatment. Curr Opin Psychiatry 24(6):461–472. https://doi.org/10.1097/YCO.0b013e32834bb9d4
doi: 10.1097/YCO.0b013e32834bb9d4 pubmed: 21926624
Reijnders JSAM, Ehrt U, Weber WEJ, Aarsland D, Leentjens AFG (2008) A systematic review of prevalence studies of depression in Parkinson’s disease. Mov Disord 23(2):183–189. https://doi.org/10.1002/mds.21803
doi: 10.1002/mds.21803 pubmed: 17987654
Tay KW, Subramaniam P, Oei TP (2019) Cognitive behavioural therapy can be effective in treating anxiety and depression in persons with dementia: a systematic review. Psychogeriatrics 19(3):264–275. https://doi.org/10.1111/psyg.12391
doi: 10.1111/psyg.12391 pubmed: 30548731

Auteurs

Silvia Schiavolin (S)

SC Neurologia, Salute Pubblica E Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria, 11, 20133, Milan, Italy.

Giorgia Camarda (G)

SC Neurologia, Salute Pubblica E Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria, 11, 20133, Milan, Italy. giorgia.camarda@istituto-besta.it.

Alessia Mazzucchelli (A)

SC Neurologia, Salute Pubblica E Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria, 11, 20133, Milan, Italy.

Arianna Mariniello (A)

SC Neurologia, Salute Pubblica E Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria, 11, 20133, Milan, Italy.

Giulia Marinoni (G)

SC Malattie Cerebrovascolari, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.

Benedetta Storti (B)

SC Malattie Cerebrovascolari, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.

Isabella Canavero (I)

SC Malattie Cerebrovascolari, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.

Anna Bersano (A)

SC Malattie Cerebrovascolari, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.

Matilde Leonardi (M)

SC Neurologia, Salute Pubblica E Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria, 11, 20133, Milan, Italy.

Classifications MeSH