Evidence map›Paper›PMID 39680240›Full record

ArticleTranslational stroke research2025

Enlarged Perivascular Spaces (EPVS) Associated with Functional and Cognitive Outcome After Aneurysm Subarachnoid Hemorrhage (aSAH).

Haichao Wang, Qiuyue Yu, Wenyi Zhang, Shengqi Yao, Yun Zhang, Qiong Dong, Yichen Zhao, Jinxing Lin, Xueyuan Liu, Li Gong

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Article in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

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4 · The record

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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.

Haichao Wang *Department of Neurology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Qiuyue Yu *Department of Neurology, Tongren Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Wenyi ZhangDepartment of Anesthesiology, Tongren Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Shengqi YaoDepartment of Neurology, Tongren Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Yun ZhangDepartment of Neurology, Tongren Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Qiong DongDepartment of Neurology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Yichen ZhaoDepartment of Neurology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Jinxing LinDepartment of Neurosurgery, The Third Hospital of Xiamen, Xiamen, Fujian, China. 759966395@qq.com.
Xueyuan LiuDepartment of Neurology, Tongren Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China. liuxy@tongji.edu.cn.
Li GongDepartment of Neurology, Tongren Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China. gongli@tongji.edu.cn.

Funding

China Postdoctoral Science Foundation 2023M732659Science and Technology Commission of Shanghai Municipality 23Y11901000Shanghai Tenth Peoples Hospital Development Program of Clinical Research YNCR2C018
6 · The paper itself

Abstract

Aneurysmal rupture is the main cause of subarachnoid hemorrhage (SAH), leading to neurological and cognitive deficits. The clinical significance of enlarged perivascular spaces (EPVS) on aSAH (aneurysm subarachnoid hemorrhage) outcomes was unclear. Our aim was to explore the association between EPVS and the clinical outcomes of aSAH. Magnetic resonance imaging (MRI) scans of 195 aSAH survivors were analyzed. Poor outcome was defined as modified Rankin Scale (mRS) ≥ 3. Cognitive outcomes were measured with the Montreal Cognitive Assessment (MoCA). We compared the clinical characteristics of aSAH with EPVS < 10 and EPVS ≥ 10 in basal ganglia (BG) and centrum semiovale (CSO) and investigated the association of EPVS severity and topography with delayed cerebral ischemia (DCI), subacute hydrocephalus, and 3-month unfavorable functional outcome and cognitive status using binary logistic regression model, respectively. At 3 months, 159 patients completed the MoCA assessments, and 63 (39.6%) were diagnosed with cognitive impairment (MoCA < 22). BG-EPVS ≥ 10 was associated with unfavorable functional outcomes at 3 months (odds ratio [OR] 2.426, 95% confidence interval [CI] 1.128-5.216, p < 0.05), subacute hydrocephalus (OR 3.789, 95% CI 1.049-13.093, p < 0.05), and DCI (OR 2.579, 95% CI 1.086-6.123, p < 0.05), but not with cognitive impairment after adjusting for established predictors. CSO-EPVS was linked to unfavorable functional outcomes at 3 months (OR 3.411, 95% CI 1.422-8.195, p < 0.05) and worse cognitive function (OR 2.520, 95% CI 1.136-5.589, p < 0.05). Our cohort study reveals that both BG-EPVS and CSO-EPVS are independently associated with unfavorable functional outcomes after aSAH. However, only CSO-EPVS, not BG-EPVS, is related to cognitive impairment at 3 months.

Indexed as

Cognitive DysfunctionGlymphatic SystemSubarachnoid HemorrhageAdultAgedCognitionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedAneurysmEnlarged perivascular spacesGlymphatic systemStrokeSubarachnoid hemorrhage

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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.