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Associations Between Cerebral Microbleed Patterns and Incident Dementia: The ARIC-Neurocognitive Study - PubMed

5 hours ago
  • #neurocognitive study
  • #cerebral microbleeds
  • #dementia
  • Cerebral microbleeds (CMBs) are linked to dementia, but the impact of specific patterns is unclear.
  • Lobar CMBs often result from cerebral amyloid angiopathy, while subcortical CMBs indicate hypertensive causes.
  • The study included 1583 participants from the ARIC-NCS cohort, with MRI scans and dementia assessments.
  • Mixed and lobar±cSS CMB patterns showed increased dementia risk (HR 1.99 and 1.96, respectively).
  • Subcortical-only CMBs did not significantly increase dementia risk (HR 1.04).
  • Presence of cortical superficial siderosis (cSS) was associated with higher dementia risk (HR 2.57).
  • Greater numbers of microbleeds across all subtypes increased dementia risk.
  • Lobar and mixed CMB patterns, as well as disease burden, are associated with incident dementia.