Is white matter hyperintensity burden associated with cognitive and motor impairment in patients with parkinson's disease? A systematic review and meta-analysis

被引：9
作者：
de Abreu, Daniela Cristina Carvalho [1 ,2 ]
Pieruccini-Faria, Frederico [3 ,4 ]
Son, Surim [5 ,6 ,7 ]
Montero-Odasso, Manuel [8 ,9 ,10 ]
Camicioli, Richard [11 ]
机构：
[1] Univ Western Ontario, Gait & Brain Lab, London, ON, Canada
[2] Univ Sao Paulo, Ribeirao Preto Med Sch, Rehabil & Funct Performance Program, Dept Hlth Sci,Physiotherapy Course, Ribeirao Preto, Brazil
[3] Univ Western Ontario, Lawson Hlth Res Inst, Parkwood Inst, Schulich Sch Med & Dent,Dept Med, London, ON, Canada
[4] Gait & Brain Lab, London, ON, Canada
[5] Univ Western Ontario, Schulich Sch Med & Dent, Epidemiol & Biostat, London, ON, Canada
[6] Univ Western Ontario, Dept Med, London, ON, Canada
[7] Lawson Hlth Res Inst, Parkwood Inst, London, ON, Canada
[8] Univ Western Ontario, Schulich Sch Med & Dent, Dept Med, London, ON, Canada
[9] Univ Western Ontario, Schulich Sch Med & Dent, Dept Epidemiol & Biostat, London, ON, Canada
[10] Lawson Hlth Res Inst, Parkwood Inst, London, ON, Canada
[11] Univ Alberta, Dept Med, Div Neurol, Edmonton, AB, Canada
来源：
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS | 2024年 / 161卷
基金：
巴西圣保罗研究基金会;
关键词：
White matter hyperintensities; Deep WMH; Periventricular WMH; UPDRS-III; Postural instability and gait disorder; CEREBRAL MICROBLEEDS; AMYLOID DEPOSITION; LEWY BODIES; DEMENTIA; SYMPTOMS; HOMOCYSTEINE; LESIONS; RISK; DIAGNOSIS; IMPACT;
D O I：
10.1016/j.neubiorev.2024.105677
中图分类号：
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号：
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要：
White matter damage quantified as white matter hyperintensities (WMH) may aggravate cognitive and motor impairments, but whether and how WMH burden impacts these problems in Parkinson's disease (PD) is not fully understood. This study aimed to examine the association between WMH and cognitive and motor performance in PD through a systematic review and meta-analysis. We compared the WMH burden across the cognitive spectrum (cognitively normal, mild cognitive impairment, dementia) in PD including controls. Motor signs were compared in PD with low/negative and high/positive WMH burden. We compared baseline WMH burden of PD who did and did not convert to MCI or dementia. MEDLINE and EMBASE databases were used to conduct the literature search resulting in 50 studies included for data extraction. Increased WMH burden was found in individuals with PD compared with individuals without PD (i.e. control) and across the cognitive spectrum in PD (i.e. PD, PD-MCI, PDD). Individuals with PD with high/positive WMH burden had worse global cognition, executive function, and attention. Similarly, PD with high/positive WMH presented worse motor signs compared with individuals presenting low/negative WMH burden. Only three longitudinal studies were retrieved from our search and they showed that PD who converted to MCI or dementia, did not have significantly higher WMH burden at baseline, although no data was provided on WMH burden changes during the follow up. We conclude, based on crosssectional studies, that WMH burden appears to increase with PD worse cognitive and motor status in PD.
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页数：24
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