Current pathophysiological concepts in Cerebral Small Vessel Disease

The association between cerebral small vessel disease (SVD) – in the form of white matter lesions, infarctions, and hemorrhages – with vascular cognitive impairment (VCI), has mostly been deduced from observational studies. Pathological conditions affecting the small vessels of the brain and leading...

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Main Authors: Fred eRincon, Clinton eWright
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-03-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnagi.2014.00024/full
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author Fred eRincon
Clinton eWright
author_facet Fred eRincon
Clinton eWright
author_sort Fred eRincon
collection DOAJ
description The association between cerebral small vessel disease (SVD) – in the form of white matter lesions, infarctions, and hemorrhages – with vascular cognitive impairment (VCI), has mostly been deduced from observational studies. Pathological conditions affecting the small vessels of the brain and leading to SVD have suggested plausible molecular mechanisms involved in vascular damage and their impact on brain function. However, much still needs to be clarified in understanding the pathophysiology of VCI, the role of neurodegenerative processes such as Alzheimer disease, and the impact of aging itself. In addition, both genetic predispositions and environmental exposures may potentiate the development of SVD and interact with normal aging to impact cognitive function and require further study. Advances in technology, in the analysis of genetic and epigenetic data, neuroimaging such as MRI, and new biomarkers will help to clarify the complex factors leading to SVD and the expression of VCI.
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spelling doaj.art-30ee94dcb138443193e0dcb9286387272022-12-22T01:24:05ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652014-03-01610.3389/fnagi.2014.0002466050Current pathophysiological concepts in Cerebral Small Vessel DiseaseFred eRincon0Clinton eWright1Thomas Jefferson UniversityUniversity of MiamiThe association between cerebral small vessel disease (SVD) – in the form of white matter lesions, infarctions, and hemorrhages – with vascular cognitive impairment (VCI), has mostly been deduced from observational studies. Pathological conditions affecting the small vessels of the brain and leading to SVD have suggested plausible molecular mechanisms involved in vascular damage and their impact on brain function. However, much still needs to be clarified in understanding the pathophysiology of VCI, the role of neurodegenerative processes such as Alzheimer disease, and the impact of aging itself. In addition, both genetic predispositions and environmental exposures may potentiate the development of SVD and interact with normal aging to impact cognitive function and require further study. Advances in technology, in the analysis of genetic and epigenetic data, neuroimaging such as MRI, and new biomarkers will help to clarify the complex factors leading to SVD and the expression of VCI.http://journal.frontiersin.org/Journal/10.3389/fnagi.2014.00024/fullAlzheimer DiseaseLeukoaraiosisStrokevascular cognitive impairmentsilent brain infarction
spellingShingle Fred eRincon
Clinton eWright
Current pathophysiological concepts in Cerebral Small Vessel Disease
Frontiers in Aging Neuroscience
Alzheimer Disease
Leukoaraiosis
Stroke
vascular cognitive impairment
silent brain infarction
title Current pathophysiological concepts in Cerebral Small Vessel Disease
title_full Current pathophysiological concepts in Cerebral Small Vessel Disease
title_fullStr Current pathophysiological concepts in Cerebral Small Vessel Disease
title_full_unstemmed Current pathophysiological concepts in Cerebral Small Vessel Disease
title_short Current pathophysiological concepts in Cerebral Small Vessel Disease
title_sort current pathophysiological concepts in cerebral small vessel disease
topic Alzheimer Disease
Leukoaraiosis
Stroke
vascular cognitive impairment
silent brain infarction
url http://journal.frontiersin.org/Journal/10.3389/fnagi.2014.00024/full
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