4.5 Review

Leukoaraiosis and acute ischemic stroke

Journal

EUROPEAN JOURNAL OF NEUROSCIENCE
Volume 54, Issue 6, Pages 6202-6213

Publisher

WILEY
DOI: 10.1111/ejn.15406

Keywords

ischemic stroke; leukoaraiosis; mechanism; prognosis

Categories

Funding

  1. 333 Project [BRA2015187]
  2. Six Talent Peaks Project in Jiangsu Province [WSW-246]

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Ischaemic stroke often leads to leukoaraiosis in patients, affecting cognitive function, mood, and gait. Although studies suggest that leukoaraiosis has a negative impact on the prognosis of stroke, there are differing opinions among experts.
Ischaemic stroke is characterized by high morbidity, high disability rate, high mortality and high recurrence rate, which can have a grave impact on the quality of life of the patients and consequently becomes an economic burden on their families and society. With the developments in imaging technology in recent years, patients with acute cerebral infarction are predominantly more likely to be diagnosed with leukoaraiosis (LA). LA is a common degenerative disease of the nervous system, which is related to cognitive decline, depression, abnormal gait, ischaemic stroke and atherosclerosis. The aetiology of LA is not clear and there is no gold standard for imaging assessment. Related studies have shown that LA has an adverse effect on the prognosis of cerebral infarction, but some experts have contrary beliefs. Hence, we undertook the present review of the literature on the mechanism and the effect of LA on the prognosis of patients with acute ischaemic stroke.

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