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Verfasst von:Blahak, Christian [VerfasserIn]   i
 Bäzner, Hansjörg [VerfasserIn]   i
 Pantoni, L. [VerfasserIn]   i
 Poggesi, A. [VerfasserIn]   i
 Chabriat, H. [VerfasserIn]   i
 Erkinjuntti, T. [VerfasserIn]   i
 Fazekas, F. [VerfasserIn]   i
 Ferro, J. M. [VerfasserIn]   i
 Langhorne, P. [VerfasserIn]   i
 O’Brien, J. [VerfasserIn]   i
 Visser, M. C. [VerfasserIn]   i
 Wahlund, L.-O. [VerfasserIn]   i
 Waldemar, G. [VerfasserIn]   i
 Wallin, A. [VerfasserIn]   i
 Inzitari, D. [VerfasserIn]   i
 Hennerici, Michael G. [VerfasserIn]   i
Titel:Deep frontal and periventricular age related white matter changes but not basal ganglia and infratentorial hyperintensities are associated with falls
Titelzusatz:cross sectional results from the LADIS study
Verf.angabe:C. Blahak, H. Baezner, L. Pantoni, A. Poggesi, H. Chabriat, T. Erkinjuntti, F. Fazekas, J.M. Ferro, P. Langhorne, J. O’Brien, M.C. Visser, L.-O. Wahlund, G. Waldemar, A. Wallin, D. Inzitari, M.G. Hennerici, on behalf of the LADIS Study Group
E-Jahr:2009
Jahr:9 February 2009
Umfang:6 S.
Illustrationen:Diagramme
Fussnoten:Gesehen am 24.03.2021
Titel Quelle:Enthalten in: Journal of neurology, neurosurgery, and psychiatry
Ort Quelle:London : BMJ Publishing Group, 1944
Jahr Quelle:2009
Band/Heft Quelle:80(2009), 6, Seite 608-613
ISSN Quelle:1468-330X
Abstract:Background: Global age related white matter changes (ARWMC) are associated with progressive gait disturbances and falls, hypothesised to result from interruptions of cortico-subcortical circuits controlling balance, posture and locomotion. - Methods: The location of ARWMC in a large cohort of elderly non-disabled individuals with reported falls was analysed, using the cross sectional data of the Leukoaraiosis and Disability (LADIS) study. Detailed anatomical distributions of ARWMC assessed by MRI studies were analysed with respect to falls and balance performance. - Results: The severity of global ARWMC was significantly associated with a history of falls in the year prior to study inclusion (22.2% in the mild, 31.6% in the moderate and 37.3% in the severe ARWMC group according to the Fazekas scale; p = 0.002). Analysing the anatomical distribution of ARWMC, using the semiquantitative Scheltens scale, in multivariate analysis, periventricular (p = 0.006) and frontal deep (p = 0.033) ARWMC were independently associated with falls. Furthermore, logistic regression identified frontal deep (p = 0.003) ARWMC, but not basal ganglia and infratentorial hyperintensities, as significantly associated with balance disturbances. - Conclusion: The association of frontal and periventricular ARWMC with falls supports the hypothesis that interruption of frontal subcortical motor circuits lead to balance disturbances and hence to an increased risk for falls in ARWMC.
DOI:doi:10.1136/jnnp.2008.154633
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1136/jnnp.2008.154633
 Volltext: https://jnnp.bmj.com/content/80/6/608
 DOI: https://doi.org/10.1136/jnnp.2008.154633
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1752301641
Verknüpfungen:→ Zeitschrift

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