Late and early onset dementia: What is the role of vascular factors? A retrospective study
Abstract
Background Neuropathology of Alzheimer's disease (AD) demonstrates that the common occurrence of vascular lesions and vascular factors is suggested to contribute significantly to the clinical progression of the disease. This study has assessed the presence of vascular brain lesions and risk factors in subjects with diagnosis of AD and their influence on the disease course both in Late Onset Dementia (LOD) and in Early Onset Dementia (EOD).Methods MRI scans of 374 LOD and of 67 EOD patients were evaluated for the presence of vascular associated lesions and rated according to the age-related white matter changes (ARWMC) scale as "pure degenerative", "mixed" and "vascular" cases of dementia. Vascular risk factors burden (hypertension, diabetes, dyslipidemia, myocardial infarction) and disease progression were also assessed.Results 44% of LOD cases and 46% of EOD were classified as "mixed dementia cases". The vascular risk factors burden showed an increase from the pure degenerative to the pure vascular forms. Disease progression, calculated in two years using the Mini Mental State Evaluation (MMSE), Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scores, did not reveal differences among the three different classes of dementias.Conclusions Vascular lesions are found in the majority of LOD cases and in about one half of EOD. This observation is consistent with the hypothesis of a synergistic effect of the degenerative and vascular factors on the development of cognitive dysfunction. The linear increase of the vascular burden supports the idea of a continuum spectrum between the pure degenerative and the pure vascular forms of adult-onset dementia disorders.
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Cerebrovascular lesions are found in half of early-onset AD cases.
“Cerebrovascular lesions are found in the majority of late-onset AD and only in half of early-onset AD cases [160].”
From The overlap between vascular disease and Alzheimer’s disease - lessons from pathology (2014) · cites this paper as [160]
Cerebrovascular lesions are found in the majority of late-onset AD cases.
“Cerebrovascular lesions are found in the majority of late-onset AD and only in half of early-onset AD cases [160].”
From The overlap between vascular disease and Alzheimer’s disease - lessons from pathology (2014) · cites this paper as [160]
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- Authors
- Carotenuto, A., Rea, R., Colucci, L., Ziello, A. R., Molino, I., Carpi, S., Traini, E., Amenta, F., & Fasanaro, A. M.
- Affiliations
- Università di Camerino (IT)
- Ospedale Antonio Cardarelli (IT)
- Corresponding author
- Amenta, Francesco
- ORCID
- Venue
- Journal of the Neurological Sciences
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 322
- Issue
- 1-2
- Pages
- 170-175
- ISSN
- 0022-510X (ISSN-L)
- OpenAlex
- W2008604482
- Cited by
- 27
- References
- 27
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 7 · 2013: 1
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the Neurological Sciences (publishedVersion)
- PubMed (publishedVersion)
- Unicam Scientific Publications (University of Camerino) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Cerebrovascular and genetic disorders
- Keywords
- Alzheimer's disease, late-onset dementia, early-onset dementia, vascular dementia, mixed dementia, vascular risk factors, white matter lesions, disease progression, hypertension, diabetes mellitus, dyslipidemia, myocardial infarction, cognitive decline
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Analysis of Variance, Brain, Cerebrovascular Disorders, Dementia, Female, Humans, Male, Mental Status Schedule, Retrospective Studies, Risk Factors, Time Factors, Age of Onset, Disease Progression
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