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Gewählte Publikation:

Fazekas, F; Kapeller, P; Schmidt, R; Offenbacher, H; Payer, F; Fazekas, G.
The relation of cerebral magnetic resonance signal hyperintensities to Alzheimer's disease.
J Neurol Sci. 1996; 142(1-2):121-125 Doi: 10.1016/0022-510X(96)00169-4
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Führende Autor*innen der Med Uni Graz
Fazekas Franz
Co-Autor*innen der Med Uni Graz
Kapeller Peter
Payer Franz
Schmidt Reinhold
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Abstract:
To further elucidate the relation of cerebral magnetic resonance signal hyperintensities to Alzheimer's disease (AD) we performed a case-control comparison between 30 consecutive patients with probable AD (age range 49-76, mean 65 years) and 60 asymptomatic volunteers matched for age, sex, and major cerebrovascular risk factors. We used a 1.5T magnet and determined the extent of morphologic abnormalities both by visual grading and measurement. AD patients showed comparable grades of deep/subcortical white matter hyperintensities (WMH) and a similar extent of the total WMH area as controls (3.3 cm2 +/- 8.8 vs. 2.0 cm2 +/- 4.6). They had significantly more often a "halo' of periventricular hyperintensity (PVH) (p < 0.0005) and an increased mean PVH thickness (3.0 mm +/- 1.9 vs. 1.3 mm +/- 1.2; p < 0.001). This PVH thickness correlated significantly with measures of ventricular enlargement. While univariate logistic regression also suggested a significant association of PVH thickness with a diagnosis of AD this association was lost against atrophy measures in a multivariate analysis. Our results confirm a significantly greater extent of PVH in AD patients than controls even when matched for cerebrovascular risk factors. However, this abnormality was not independently related to the disease but rather appears to be an epiphenomenon of brain atrophy.
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Aged -
Alzheimer Disease - diagnosis
Atrophy - diagnosis
Corpus Callosum - pathology
Female - pathology
Humans - pathology
Magnetic Resonance Imaging - pathology
Male - pathology
Matched-Pair Analysis - pathology
Middle Aged - pathology
Nerve Fibers - pathology
Predictive Value of Tests - pathology

Find related publications in this database (Keywords)
Alzheimers Disease
Magnetic Resonance Imaging
White Matter Hyperintensity
Periventricular Hyperintensity
Brain Atrophy
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