Evidence map›Paper›PMID 40269723›Full record

ArticleBMC neurology2025

Cerebral microbleeds: prevalence and relationship to clinical features in cognitive impairment with lewy body disease.

Zhihong Ren, Jinghuan Gan, Zhichao Chen, Zhihong Shi, Shuai Liu, Hao Lu, Guili Zhang, Yong Ji

Abstract readMulticenter Study
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zhihong Ren *Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jinghuan Gan *Department of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zhichao ChenDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zhihong ShiDepartment of Neurology, Tianjin Key Laboratory of Cerebrovascular and of neurodegenerative diseases, Tianjin Huanhu Hospital, Tianjin dementia institute, 6 Jizhao Road, Jinnan District, Tianjin, 300350, China.
Shuai LiuDepartment of Neurology, Tianjin Key Laboratory of Cerebrovascular and of neurodegenerative diseases, Tianjin Huanhu Hospital, Tianjin dementia institute, 6 Jizhao Road, Jinnan District, Tianjin, 300350, China.
Hao LuDepartment of Radiology, Tianjin Huanhu Hospital, Tianjin, China.
Guili ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yong JiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. jiyong@ccmu.edu.cn.

Funding

National Natural Science Foundation of China 82171182Tianjin Health Research Project TJWJ2023QN060Tianjin Key Medical Discipline (Specialty) Construction Project TJYXZDXK-052BTianjin Municipal Education Commission Research projects 2023KJ060Tianjin Science and Technology Project 22ZYCGSY00840
6 · The paper itself

Abstract

backgroundThe burden of cerebral microbleeds (CMBs) is greater in patients with dementia with Lewy bodies (DLB) than in those with Parkinson disease dementia (PDD), while few studies have been carried out in a large sample size, or focused on the prodromal stage. Thus, we investigated the clinical prevalence of CMBs and its relationship to clinical features in patients with DLB, PDD, mild cognitive impairment with Lewy bodies (MCI-LB) and Parkinson's disease with MCI (PD-MCI) in this study.

methodsIn this retrospective multicenter cohort study, the study population consisted of 486 patients with DLB, 262 cases with PDD, 74 cases with MCI-LB and 107 cases with PD-MCI from 22 memory clinics between January 2018 and June 2022 in China. Demographic and clinical information were collected by reviewing medical records. CMBs were classified as "present" or "absent" in the Gradient Recalled-Echo or Susceptibility Weighted Imaging.

resultsThe prevalence of CMBs was significantly greater in patients with DLB with 24.69% (95% CI [20.92%, 28.78%]) than patients with PDD with 20.23% (95% CI [5.54%, 25.61%]), patients with MCI-LB with 16.22% (95% CI [8.67%, 26.61%]), and patients with PD-MCI with 12.15% (95% CI [6.63%, 19.88%]). There were sex and age differences in this prevalence. In all patients, the presence of CMBs was significantly and independently associated with the presence of visual hallucination (OR = 1.597, 95% CI [1.014, 2.517], p = 0.044) and fluctuating cognition (OR = 1.707, 95% CI [1.140, 2.556], p = 0.009); and it was associated with the severity of hallucination (B = 0.775, SE = 0.368, p = 0.036) and disinhibition (B = 0.363, SE = 0.148, p = 0.014) reflected by NPI. Moreover, CMBs in DLB were associated with the presence of parkinsonism symptoms (OR = 1.821, 95% CI [1.001, 3.314], p = 0.05), and the scores of UPDRS-III (B = 4.711, SE = 1.939, p = 0.016) and Hoehn-Yahn stage (B = 0.452, SE = 0.165, p = 0.007).

conclusionPatients with DLB had a higher proportion of CMBs than PDD, MCI-LB and PD-MCI. CMBs in all DLB, PDD, MCI-LB and PD-MCI cases were associated with the presence of visual hallucination and fluctuating cognition; in DLB were associated with motor function.

Indexed as

Cerebral HemorrhageCognitive DysfunctionLewy Body DiseaseParkinson DiseaseAgedAged, 80 and overChinaCohort StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPrevalenceRetrospective StudiesCerebral microbleedsCerebral small vascular diseaseDementiaLewy body diseaseMild cognitive impairment

Identifiers

PMID40269723
PMCPMC12016122

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Registered trials

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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.