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Cited by 260

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Blood‐brain barrier failure as a core mechanism in cerebral small vessel disease and dementia: evidence from a cohort study

Open access
Wardlaw, Joanna M., Makin, Stephen J., Valdés Hernández, Maria C., Armitage, Paul A., Heye, Anna K., Chappell, Francesca M., Muñoz‐Maniega, Susana, Sakka, Eleni, Shuler, Kirsten, Dennis, Martin S., Thrippleton, Michael J.·2017·Alzheimer's & Dementia

Abstract

Introduction: Small vessel disease (SVD) is a common contributor to dementia. Subtle blood‐brain barrier (BBB) leakage may be important in SVD‐induced brain damage. Methods: We assessed imaging, clinical variables, and cognition in patients with mild (i.e., nondisabling) ischemic lacunar or cortical stroke. We analyzed BBB leakage, interstitial fluid, and white matter integrity using multimodal tissue‐specific spatial analysis around white matter hyperintensities (WMH). We assessed predictors of 1 year cognition, recurrent stroke, and dependency. Results: In 201 patients, median age 67 (range 34–97), BBB leakage, and interstitial fluid were higher in WMH than normal‐appearing white matter; leakage in normal‐appearing white matter increased with proximity to WMH (P < .0001), with WMH severity (P = .033), age (P = .03), and hypertension (P < .0001). BBB leakage in WMH predicted declining cognition at 1 year. Discussion: BBB leakage increases in normal‐appearing white matter with WMH and predicts worsening cognition. Interventions to reduce BBB leakage may prevent SVD‐associated dementia.

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Metadata

Authors
Wardlaw, J. M., Makin, S. J., Valdés Hernández, M. C., Armitage, P. A., Heye, A. K., Chappell, F. M., Muñoz‐Maniega, S., Sakka, E., Shuler, K., Dennis, M. S., & Thrippleton, M. J.
Venue
Alzheimer's & Dementia
Publisher
Wiley
Published
2016-10-27
Volume
13
Issue
6
Pages
634-643
ISSN
  • 1552-5260 (ISSN-L)
  • 1552-5279
OpenAlex
W2544891436
Cited by
260
References
24
FWCI
10.73
Type
journal article
Language
en
Open access
hybrid

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Wardlaw, J. M., Makin, S. J., Valdés Hernández, M. C., Armitage, P. A., Heye, A. K., Chappell, F. M., Muñoz‐Maniega, S., Sakka, E., Shuler, K., Dennis, M. S., & Thrippleton, M. J. (2017). Blood‐brain barrier failure as a core mechanism in cerebral small vessel disease and dementia: evidence from a cohort study. Alzheimer's & Dementia. https://doi.org/10.1016/j.jalz.2016.09.006

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.