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Background and Purpose—Cerebral microbleeds (CMBs) are common in stroke survivors and community-dwelling elderly. The clinical significance of CMBs in the outcome of poststroke depression (PSD) is unknown. This study examined the association between the 1-year outcome of PSD and CMBs. Methods—The study population comprised 774 Chinese patients with acute ischemic stroke who were admitted to the acute stroke unit of a university-affiliated regional hospital in Hong Kong. Three and 15 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 Geriatric Depression Scale score of ≥7. Of the 213 patients with PSD at the 3-month follow-up, 135 (63.4%) attended the 15-month follow-up, at which time 89 (65.9%) patients remained depressed (nonremitters), and 46 (34.1%) had recovered (remitters). The presence and location of CMBs were evaluated with magnetic resonance imaging. Results—In comparison with the remitters, nonremitters were more likely to have lobar CMBs (18.4% versus 4.3%; P=0.024). Lobar CMBs remained an independent predictor of PSD in the multivariate analysis, with an odds ratio of 4.96 (P=0.039). Conclusions—The results suggest that lobar CMBs may influence the outcome of PSD. The importance of CMBs in the clinical course of depression in stroke survivors warrants further investigation.

Titel:	Cerebral Microbleeds as a Predictor of 1-Year Outcome of Poststroke Depression
Autor/in / Beteiligte Person:	WAI KWONG, TANG ; YANGKUN, CHEN ; HUAJUN, LIANG ; CHIU WING CHU, Winnie ; CHUNG TONG MOK, Vincent ; GABOR SANDOR, UNGVARI ; KA SING, WONG
Link:	Full Text Finder (Volltext) View record from PASCAL Archive
Zeitschrift:	Stroke (1970), Jg. 45 (2014), Heft 1, S. 77-81
Veröffentlichung:	Hagerstown, MD: Lippincott Williams & Wilkins, 2014
Medientyp:	academicJournal
Umfang:	print, 28 ref
ISSN:	0039-2499 (print)
Schlagwort:	Neurology Neurologie Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Pharmacologie. Traitements medicamenteux Pharmacology. Drug treatments Neuropharmacologie Neuropharmacology Psychoanaleptiques: stimulant snc, antidépresseur, nootrope, normothymique..., (maladie d'alzheimer) Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease) Pathologie vasculaire et malformations vasculaires du système nerveux Vascular diseases and vascular malformations of the nervous system Psychopathologie. Psychiatrie Psychopathology. Psychiatry Etude clinique de l'adulte et de l'adolescent Adult and adolescent clinical studies Troubles de l'humeur Mood disorders Etat dépressif Depression Divers Miscellaneous Psychologie. Psychanalyse. Psychiatrie Psychology. Psychoanalysis. Psychiatry PSYCHOPATHOLOGIE. PSYCHIATRIE Psychopharmacologie Psychopharmacology Psychoanaleptiques: stimulant SNC antidépresseur, nootrope, normothymique… Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer… Imagerie médicale Medical imagery Imaginería médica Pathologie de l'appareil circulatoire Cardiovascular disease Aparato circulatorio patología Pathologie de l'encéphale Cerebral disorder Encéfalo patología Pathologie des vaisseaux sanguins Vascular disease Vaso sanguíneo patología Pathologie du système nerveux central Central nervous system disease Sistema nervosio central patología Trouble de l'humeur Mood disorder Trastorno humor Accident cérébrovasculaire Stroke Accidente cerebrovascular Estado depresivo Hémorragie cérébrale Cerebral hemorrhage Hemorragia cerebral Imagerie RMN Nuclear magnetic resonance imaging Imaginería RMN Pathologie cérébrovasculaire Cerebrovascular disease Vaso sanguíneo encéfalo patología Pathologie du système nerveux Nervous system diseases Sistema nervioso patología Pronostic Prognosis Pronóstico depression magnetic resonance imaging outcome measures stroke
Sonstiges:	Nachgewiesen in: PASCAL Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Department of Psychiatry, Chinese University of Hong Kong, Hong-Kong ; Department of Neurology, Dongguan People's Hospital, Dongguan, Guangdong, China ; Department of Imaging and Interventional Radiology, Chinese University of Hong Kong, Hong-Kong ; Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong-Kong ; University of Notre Dame Australia/Marian Centre, Perth, Australia ; School of Psychiatry and Clinical Neuroscience, University of Western Australia, Perth, Australia Rights: Copyright 2015 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS Notes: Neurology ; Pharmacological treatments ; Psychopathology. Psychiatry. Clinical psychology ; FRANCIS

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Cerebral Microbleeds as a Predictor of 1-Year Outcome of Poststroke Depression