Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease

This review contains up-to-date information on the fundamentals and clinical aspects of white matter disease in chronic progressive cerebrovascular disease with cognitive impairment, the leading risk factors for which are hypertension and cerebral atherosclerosis. Highly informative methods of neuro...

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Main Authors: Tatyana S. Gulevskaya, Pavel L. Anufriev, Мarine М. Tanashyan
Format: Article
Language:English
Published: Research Center of Neurology 2022-06-01
Series:Анналы клинической и экспериментальной неврологии
Subjects:
Online Access:https://annaly-nevrologii.com/journal/pathID/article/viewFile/827/pdf
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author Tatyana S. Gulevskaya
Pavel L. Anufriev
Мarine М. Tanashyan
author_facet Tatyana S. Gulevskaya
Pavel L. Anufriev
Мarine М. Tanashyan
author_sort Tatyana S. Gulevskaya
collection DOAJ
description This review contains up-to-date information on the fundamentals and clinical aspects of white matter disease in chronic progressive cerebrovascular disease with cognitive impairment, the leading risk factors for which are hypertension and cerebral atherosclerosis. Highly informative methods of neuroimaging have contributed significantly to the study of this problem, confirming the important role of white matter changes in the development and progression of cognitive impairment. The full range of the morphological changes in white matter, typical of vascular encephalopathy and cognitive dysfunction, is presented. Chronic hypoperfusion and white matter ischaemia play a leading role in the pathogenesis of white matter changes in vascular dementia development, but alternative hypotheses are also emerging. Further fundamental morphological and clinical studies will help to determine the leading mechanisms of white matter damage in patients with vascular and other age-related forms of dementia. This is necessary for the development of effective methods of treatment and prevention.
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spelling doaj.art-76e3ef5b1526419ca573c1a561d4c6392022-12-22T00:50:28ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332022-06-01162788810.54101/ACEN.2022.2.9598Morphology and pathogenesis of white matter changes in chronic cerebrovascular diseaseTatyana S. Gulevskaya0https://orcid.org/0000-0003-2970-8136Pavel L. Anufriev1https://orcid.org/0000-0002-5327-2275Мarine М. Tanashyan2https://orcid.org/0000-0002-5883-8119Research Center of NeurologyResearch Center of NeurologyResearch Center of NeurologyThis review contains up-to-date information on the fundamentals and clinical aspects of white matter disease in chronic progressive cerebrovascular disease with cognitive impairment, the leading risk factors for which are hypertension and cerebral atherosclerosis. Highly informative methods of neuroimaging have contributed significantly to the study of this problem, confirming the important role of white matter changes in the development and progression of cognitive impairment. The full range of the morphological changes in white matter, typical of vascular encephalopathy and cognitive dysfunction, is presented. Chronic hypoperfusion and white matter ischaemia play a leading role in the pathogenesis of white matter changes in vascular dementia development, but alternative hypotheses are also emerging. Further fundamental morphological and clinical studies will help to determine the leading mechanisms of white matter damage in patients with vascular and other age-related forms of dementia. This is necessary for the development of effective methods of treatment and prevention.https://annaly-nevrologii.com/journal/pathID/article/viewFile/827/pdfwhite matter diseasehypertensioncerebral atherosclerosiswhite matter hyperintensitycognitive impairmentbinswanger's disease
spellingShingle Tatyana S. Gulevskaya
Pavel L. Anufriev
Мarine М. Tanashyan
Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
Анналы клинической и экспериментальной неврологии
white matter disease
hypertension
cerebral atherosclerosis
white matter hyperintensity
cognitive impairment
binswanger's disease
title Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
title_full Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
title_fullStr Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
title_full_unstemmed Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
title_short Morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
title_sort morphology and pathogenesis of white matter changes in chronic cerebrovascular disease
topic white matter disease
hypertension
cerebral atherosclerosis
white matter hyperintensity
cognitive impairment
binswanger's disease
url https://annaly-nevrologii.com/journal/pathID/article/viewFile/827/pdf
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AT marinemtanashyan morphologyandpathogenesisofwhitematterchangesinchroniccerebrovasculardisease