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Operationalizing mild cognitive impairment criteria in small vessel disease: The VMCI-Tuscany Study
- Publication Year :
- 2016
-
Abstract
- Introduction Mild cognitive impairment (MCI) prodromic of vascular dementia is expected to have a multidomain profile. Methods In a sample of cerebral small vessel disease (SVD) patients, we assessed MCI subtypes distributions according to different operationalization of Winblad criteria and compared the neuroimaging features of single versus multidomain MCI. We applied three MCI diagnostic scenarios in which the cutoffs for objective impairment and the number of considered neuropsychological tests varied. Results Passing from a liberal to more conservative diagnostic scenarios, of 153 patients, 5% were no longer classified as MCI, amnestic multidomain frequency decreased, and nonamnestic single domain increased. Considering neuroimaging features, severe medial temporal lobe atrophy was more frequent in multidomain compared with single domain. Discussion Operationalizing MCI criteria changes the relative frequency of MCI subtypes. Nonamnestic single domain MCI may be a previously nonrecognized type of MCI associated with SVD.
- Subjects :
- Male
Epidemiology
Cerebrovascular disease
Cognitive aging
Mild cognitive impairment
Neuropsychology
Vascular dementia
Health Policy
Developmental Neuroscience
Geriatrics and Gerontology
Neurology (clinical)
Cellular and Molecular Neuroscience
Psychiatry and Mental Health
Neuropsychological Tests
0302 clinical medicine
Prospective Studies
030212 general & internal medicine
Prospective cohort study
medicine.diagnostic_test
Magnetic Resonance Imaging
White Matter
Temporal Lobe
medicine.anatomical_structure
Italy
Disease Progression
Cardiology
Female
Psychology
medicine.medical_specialty
Prodromal Symptoms
behavioral disciplines and activities
Temporal lobe
White matter
03 medical and health sciences
Atrophy
Neuroimaging
Internal medicine
mental disorders
medicine
Humans
Cognitive Dysfunction
Psychiatry
Aged
Magnetic resonance imaging
medicine.disease
nervous system diseases
Cerebrovascular Disorders
human activities
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....d2be8e8add2bb19157d5193fdc65d37b