White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension

Although the pathogenesis and clinical significance of cerebral white matter lesions remain controversial, it is well established that age and hypertension are the most important factors related to the presence of these lesions. Hypertension is known to be the most important factor for developing st...

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Main Authors: Cristina Sierra, Antonio Coca
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2006.99
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author Cristina Sierra
Antonio Coca
author_facet Cristina Sierra
Antonio Coca
author_sort Cristina Sierra
collection DOAJ
description Although the pathogenesis and clinical significance of cerebral white matter lesions remain controversial, it is well established that age and hypertension are the most important factors related to the presence of these lesions. Hypertension is known to be the most important factor for developing stroke and vascular dementia. In addition, the presence of cerebral white matter lesions is an important prognostic factor for the development of stroke, and also for cognitive impairment and dementia. The mechanisms underlying hypertension-related cognitive changes are complex and are not yet fully understood. Correlations between cerebral white matter lesions and elevated blood pressure provide indirect evidence that structural and functional changes in the brain over time may lead to lowered cognitive functioning when blood pressure control is poor or lacking.Some authors have suggested that the presence of white matter lesions in hypertensive patients could be considered an early marker of brain damage.
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spelling doaj-art-e1b457e88cdb433f996673eddfc0f0892025-02-03T01:10:35ZengWileyThe Scientific World Journal1537-744X2006-01-01649450110.1100/tsw.2006.99White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in HypertensionCristina Sierra0Antonio Coca1Hypertension Unit, Hospital Clinic of Barcelona, University of Barcelona, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), 170-Villarroel, 08036-Barcelona, SpainHypertension Unit, Hospital Clinic of Barcelona, University of Barcelona, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), 170-Villarroel, 08036-Barcelona, SpainAlthough the pathogenesis and clinical significance of cerebral white matter lesions remain controversial, it is well established that age and hypertension are the most important factors related to the presence of these lesions. Hypertension is known to be the most important factor for developing stroke and vascular dementia. In addition, the presence of cerebral white matter lesions is an important prognostic factor for the development of stroke, and also for cognitive impairment and dementia. The mechanisms underlying hypertension-related cognitive changes are complex and are not yet fully understood. Correlations between cerebral white matter lesions and elevated blood pressure provide indirect evidence that structural and functional changes in the brain over time may lead to lowered cognitive functioning when blood pressure control is poor or lacking.Some authors have suggested that the presence of white matter lesions in hypertensive patients could be considered an early marker of brain damage.http://dx.doi.org/10.1100/tsw.2006.99
spellingShingle Cristina Sierra
Antonio Coca
White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension
The Scientific World Journal
title White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension
title_full White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension
title_fullStr White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension
title_full_unstemmed White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension
title_short White Matter Lesions and Cognitive Impairment as Silent Cerebral Disease in Hypertension
title_sort white matter lesions and cognitive impairment as silent cerebral disease in hypertension
url http://dx.doi.org/10.1100/tsw.2006.99
work_keys_str_mv AT cristinasierra whitematterlesionsandcognitiveimpairmentassilentcerebraldiseaseinhypertension
AT antoniococa whitematterlesionsandcognitiveimpairmentassilentcerebraldiseaseinhypertension