Cerebral microbleeds and depression in lacunar stroke
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摘要Background and Purpose-Cerebral microbleeds (CMB) are common in stroke survivors and the community-dwelling elderly. The clinical significance of CMB in the development of depression after a stroke is unknown. This study examined the association between poststroke depression (PSD) and CMB. Methods-A cohort of 235 patients with acute lacunar stroke admitted to the stroke unit of a university-affiliated regional hospital in Hong Kong was recruited. Three months after the onset of the index stroke, a research assistant administered the locally validated 15-item Geriatric Depression Scale. PSD was defined as a Genetic Depression Scale score of 7. The presence and location of CMB were evaluated with MRI. Results-In comparison with the non-PSD group, PSD patients were more likely to have lobar CMB (33.3% versus 19.9%; P=0.022). Lobar CMB remained an independent predictor of PSD in the multivariate analysis, with an odds ratio of 2.08 (P=0.032). Conclusions-The results suggest that lobar CMB may play a role in the development of PSD. The importance of CMB in the pathogenesis of depression in stroke survivors and the general elderly population warrants further investigation. © 2011 American Heart Association. All rights reserved.
著者Tang W.K., Chen Y.K., Lu J.Y., Chu W.C.W., Mok V.C.T., Ungvari G.S., Wong K.S.
期刊名稱Stroke
出版年份2011
月份9
日期1
卷號42
期次9
出版社Lippincott Williams & Wilkins Ltd.
出版地United States
頁次2443 - 2446
國際標準期刊號0039-2499
電子國際標準期刊號1524-4628
語言英式英語
關鍵詞depression, microbleeds, stroke

上次更新時間 2021-17-01 於 01:13