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Journal of Neurology, Neurosurgery, and Psychiatry 2005;76:1185-1186; doi:10.1136/jnnp.2005.064766
Copyright © 2005 by the BMJ Publishing Group Ltd.

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EDITORIAL COMMENTARY

White matter hyperintensities

White matter hyperintensities: a target for the prevention of cognitive decline?

D Leys1, S Bombois2

1 Department of Neurology, Stroke, EA2691, Lille University Hospital, Lille, France
2 Department of Neurology, Memory Units, EA2691, Lille University Hospital, Lille, France

Correspondence to:
Correspondence to:
D Leys
Department of Neurology (EA2691), Lille University Hospital, F-59037 Lille, France; dleys@chru-lille.fr


Lowering blood pressure might decrease the rate of cognitive decline in {varepsilon}4 carriers and in subjects with white matter hyperintensities, a risk factor for cognitive decline

Keywords: blood pressure; cognition; dementia; white matter hyperintensities

The first 150 words of the full text of this article appear below.

White matter hyperintensities (WMH) are frequent in apparently normal elderly subjects, in patients with vascular risk factors such as high blood pressure levels, in stroke patients, and in patients with either vascular dementia or Alzheimer’s disease (AD). In this issue, the papers by Garde et al (see pages 1289-91),1 Jokinen et al (see pages 1229-33),2 and de Leeuw et al (see pages 1286-8)3 provide evidence that WMH also influence cognitive functions independently of the underlying pathology. These three studies provide new information leading to potential strategies to prevent cognitive decline.

The more severe the progression of WMH over time, the more severe the cognitive decline in both AD patients3 and normal elderly subjects.1 This finding suggests that WMH should be regarded as risk factors for cognitive decline per se. Therefore, any therapeutic option that may slow the progression of WMH might . . . [Full text of this article]


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