Evidence map›Paper›PMID 40757092›Full record

ArticleFrontiers in stroke2025

Models and mechanisms of post-stroke dementia and cognitive impairment.

Romeesa Khan, Patrick Devlin, Akihiko Urayama, Rodney M Ritzel

Abstract read
In one paragraph

Article in Frontiers in stroke, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Loss of cerebral autoregulation drives abnormal perfusion patterns after stroke.Proceedings of the National Academy of Sciences of the United States of America · 2026
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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

4 authors.

Romeesa KhanDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Patrick DevlinDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Akihiko UrayamaDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Rodney M RitzelDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.

Funding

Mechanisms of Injury-induced Senescence and Immune-sequelae in Chronic TBIR00NS116032 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI RITZEL, RODNEY · 2022 to 2024
$740k
Cellular senescence as a potential sex-specific driver of small vessel disease and post-stroke cognitive impairment in late adulthoodR21AG089655 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI RITZEL, RODNEY · 2024 to 2025
$429k
NIA NIH HHS R21 AG089655NINDS NIH HHS R00 NS116032
6 · The paper itself

Abstract

Stroke is a leading cause of death and disability globally, with significant long-term impacts such as post-stroke cognitive impairment (PSCI). PSCI affects up to one-third of stroke survivors, substantially increasing their risk of dementia, especially after recurrent strokes. Despite advances in acute stroke treatments, the mechanisms underlying PSCI remain poorly understood. Emerging evidence highlights that PSCI arises from a complex interplay of vascular damage, neurodegenerative pathologies, and chronic inflammation. This review explores the epidemiology and clinical characteristics of PSCI, emphasizing the role of age, education, vascular integrity, and comorbidities such as diabetes. Additionally, we examine experimental findings that utilize rodent models to elucidate the time course and biological mechanisms of PSCI. Notable contributions include insights from transgenic Alzheimer's disease (AD) mouse models, revealing how vascular and amyloid pathologies accelerate cognitive decline post-stroke. Moreover, studies on neuroinflammation and immune responses, such as those involving TREM2, underscore the significance of inflammatory pathways in PSCI. By integrating clinical and experimental findings, this literature review provides a comprehensive understanding of PSCI mechanisms, offering a foundation for developing targeted diagnostic tools and therapeutic interventions to mitigate the long-term cognitive effects of stroke.

Indexed as

chronic hypoperfusiondementiaischemic strokeneurodegenerationpost-stroke cognitive impairment

Identifiers

PMID40757092
PMCPMC12315578

What OpenQuestion holds

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LicenceCC BY
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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.