Evidence map›Paper›PMID 37632398›Full record

ArticleEuropean stroke journal2023

Small vessel disease burden and risk of recurrent cerebrovascular events in patients with lacunar stroke and intracerebral haemorrhage attributable to deep perforator arteriolopathy.

Martina B Goeldlin, Jan Vynckier, Madlaine Mueller, Boudewijn Drop, Basel Maamari, Noah Vonlanthen, Bernhard M Siepen, Arsany Hakim, Johannes Kaesmacher, Christopher Marvin Jesse and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Cerebral amyloid angiopathy: a narrative review.Frontiers in aging neuroscience · 2025
    Review
  6. Article
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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

20 authors at 1 institution in 2 countries.

Martina B GoeldlinDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0001-5800-116X
Jan VynckierDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Madlaine MuellerDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Boudewijn DropDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0002-3415-6834
Basel MaamariDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Noah VonlanthenDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Bernhard M SiepenDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Arsany HakimUniversity Institute for Diagnostic and Interventional Neuroradiology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0001-9431-1069
Johannes KaesmacherUniversity Institute for Diagnostic and Interventional Neuroradiology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Christopher Marvin JesseDepartment of Neurosurgery, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Mandy D MuellerDepartment of Neurosurgery, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Thomas R MeinelDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0002-0647-9273
Morin BeyelerDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0001-5911-7957
Leander CléninDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Jan GrallaUniversity Institute for Diagnostic and Interventional Neuroradiology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Werner Z'GraggenDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0002-5684-4419
David BerviniDepartment of Neurosurgery, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Marcel ArnoldDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.
Urs FischerDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0003-0521-4051
David J SeiffgeDepartment of Neurology, Inselspital Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0003-3890-3849
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDeep perforator arteriolopathy (DPA) causes intracerebral haemorrhage (ICH) and lacunar strokes (LS). We compare patient characteristics, MRI findings and clinical outcomes among patients with deep ICH and LS. PATIENTS AND

methodsWe included patients with MRI-confirmed LS or ICH in the basal ganglia, thalamus, internal capsule or brainstem from the Bernese Stroke Registry. We assessed MRI small vessel disease (SVD) markers, SVD burden score, modified Rankin Scale (mRS) and ischaemic stroke or ICH at 3 months.

resultsWe included 716 patients, 117 patients (16.3%) with deep ICH (mean age (SD) 65.1 (±15.2) years, 37.1% female) and 599 patients (83.7%) with LS (mean age (SD) 69.7 (±13.6) years, 39.9% female). Compared to LS, deep ICH was associated with a higher SVD burden score (median (IQR) 2 (1-2) vs 1 (0-2)), aOR DISCUSSION/

conclusionDPA manifesting as ICH is associated with more severe MRI SVD burden and worse outcome compared to LS. The short-term risks of subsequent ischaemic stroke and recurrent ICH are similar in ICH and LS patients. This implies potential consequences for future secondary prevention strategies.

Indexed as

Brain IschemiaStrokeStroke, LacunarAgedAged, 80 and overCerebral HemorrhageFemaleHumansMagnetic Resonance ImagingMaleMiddle Agedclinical outcomesdeep perforator arteriopathyhypertensionintracerebral haemorrhageLacunar strokeMRIneuroimaging

Identifiers

PMID37632398
PMCPMC10683739
OpenAlexW4386193291

What OpenQuestion holds

Textmetadata
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.