Evidence map›Paper›PMID 35384634›Full record

ArticleTranslational stroke research2023

Histopathology of Cerebral Microinfarcts and Microbleeds in Spontaneous Intracerebral Hemorrhage.

Wilmar M T Jolink, Susanne J van Veluw, Jaco J M Zwanenburg, Annemieke J M Rozemuller, Wim van Hecke, Matthew P Frosch, Brian J Bacskai, Gabriël J E Rinkel, Steven M Greenberg, Catharina J M Klijn

Open access · hybridAbstract read
In one paragraph

Article in Translational stroke research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Loss of white matter integrity mediates the association between cortical cerebral microinfarcts and cognitive dysfunction: A longitudinal study.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. The BrainboxBrain communications · 2023
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Wilmar M T JolinkDepartment of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht University, G03.129, PO Box 85500, 3508 GA, Utrecht, The Netherlands. w.m.t.jolink@isala.nl.
Susanne J van VeluwDepartment of Neurology, J. Philip Kistler Stroke Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Jaco J M ZwanenburgDepartment of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Annemieke J M RozemullerDepartment of Pathology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Wim van HeckeDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Matthew P FroschNeuropathology Service, C.S. Kubik Laboratory for Neuropathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Brian J BacskaiAlzheimer Research Unit, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Gabriël J E RinkelDepartment of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht University, G03.129, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Steven M GreenbergDepartment of Neurology, J. Philip Kistler Stroke Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Catharina J M KlijnDepartment of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht University, G03.129, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
University Medical Center Utrecht · NLMassachusetts General Hospital · USHarvard University · USRadboud University Medical Center · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with spontaneous intracerebral hemorrhage caused by different vasculopathies, cerebral microinfarcts have the same aspect on MRI and the same applies to cerebral microbleeds. It is unclear what pathological changes underlie these cerebral microinfarcts and cerebral microbleeds. In the current study, we explored the histopathological substrate of these lesions by investigating the brain tissue of 20 patients (median age at death 77 years) who died from ICH (9 lobar, 11 non-lobar) with a combination of post-mortem 7-T MRI and histopathological analysis. We identified 132 CMIs and 204 CMBs in 15 patients on MRI, with higher numbers of CMIs in lobar ICH patients and similar numbers of CMBs. On histopathology, CMIs and CMBs were in lobar ICH more often located in the superficial than in the deep layers of the cortex, and in non-lobar ICH more often in the deeper layers. We found a tendency towards more severe CAA scores in lobar ICH patients. Other histopathological characteristics were comparable between lobar and non-lobar ICH patients. Although CMIs and CMBs were found in different segments of the cortex in lobar ICH compared to non-lobar ICH patients, otherwise similar histopathological features of cortical CMIs and CMBs distant from the ICH suggest shared pathophysiological mechanisms in lobar and non-lobar ICH caused by different vasculopathies.

Indexed as

Cerebral Amyloid AngiopathyCerebral HemorrhageBrainHumansMagnetic Resonance ImagingCerebral amyloid angiopathyHistopathologySpontaneous intracerebral hemorrhageUltra-high-field MRI

Identifiers

PMID35384634
PMCPMC9995541
OpenAlexW4226093025

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.