White Matter Imaging Correlates of Early Cognitive Impairment Detected by the Montreal Cognitive Assessment After Transient Ischemic Attack and Minor Stroke
Author(s) -
Giovanna Zamboni,
Ludovica Griffanti,
Mark Jenkinson,
Sara Mazzucco,
Linxin Li,
Wilhelm Küker,
Sarah T. Pendlebury,
Peter M. Rothwell
Publication year - 2017
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.116.016044
Subject(s) - medicine , montreal cognitive assessment , stroke (engine) , cognitive impairment , hyperintensity , cognition , minor stroke , ischemic stroke , white matter , leukoaraiosis , neuroimaging , cardiology , magnetic resonance imaging , psychiatry , radiology , ischemia , stenosis , mechanical engineering , engineering
Among screening tools for cognitive impairment in large cohorts, the Montreal Cognitive Assessment (MoCA) seems to be more sensitive to early cognitive impairment than the Mini-Mental State Examination (MMSE), particularly after transient ischemic attack or minor stroke. We reasoned that if MoCA-detected early cognitive impairment is pathologically significant, then it should be specifically associated with the presence of white matter hyperintensities (WMHs) and reduced fractional anisotropy (FA) on magnetic resonance imaging.
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