Evidence map›Paper›PMID 42551001›Full record

ArticleNeurology2026

Association of Enlarged Perivascular Spaces and Total Small Vessel Disease Burden With Kidney Function.

Philip S Nash, Gareth Ambler, Jonathan G Best, Duncan Wilson, Houwei Du, Rustam Al-Shahi Salman, Hans Rolf Jäger, Gregory Y H Lip, Martina B Goeldlin, Morin Beyeler and 64 more

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In one paragraph

Article in Neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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0 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

74 authors.

Philip S NashUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0003-2428-1575
Gareth AmblerDepartment of Statistical Science, University College London, United Kingdom.ORCID 0000-0002-5322-7327
Jonathan G BestUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0002-4243-5753
Duncan WilsonUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0002-4479-6974
Houwei DuUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0002-5978-9734
Rustam Al-Shahi SalmanInstitute for Neuroscience and Cardiovascular Research at the University of Edinburgh, United Kingdom.ORCID 0000-0002-2108-9222
Hans Rolf JägerUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0002-6403-4184
Gregory Y H LipLiverpool Centre for Cardiovascular Science at the University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, United Kingdom.ORCID 0000-0002-7566-1626
Martina B GoeldlinDepartment of Neurology, University Hospital Inselspital Bern, University of Bern, Switzerland.ORCID 0000-0001-5800-116X
Morin BeyelerDepartment of Neurology, University Hospital Inselspital Bern, University of Bern, Switzerland.ORCID 0000-0001-5911-7957
Philipp BückeDepartment of Neurology, University Hospital Inselspital Bern, University of Bern, Switzerland.ORCID 0000-0001-5204-2016
Marwan El-KoussyDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Inselspital Bern, University of Bern, Switzerland.
Heinrich P MattleDepartment of Neurology, University Hospital Inselspital Bern, University of Bern, Switzerland.ORCID 0000-0001-7968-1731
Leonidas PanosDepartment of Neurology, University Hospital Inselspital Bern, University of Bern, Switzerland.ORCID 0000-0002-5372-1819
Dianne H K van Dam-NolenDepartment of Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, the Netherlands.
Florian DubostBiomedical Imaging Group Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands.ORCID 0000-0002-7035-2680
Jeroen HendrikseDepartment of Radiology, University Medical Centre Utrecht, Utrecht University, the Netherlands.ORCID 0000-0001-6384-6140
M Eline KooiDepartment of Radiology and Nuclear Medicine, CARIM Cardiovascular Research Institute Maastricht, Maastricht University Medical Center (MUMC+), the Netherlands.ORCID 0000-0001-7562-5724
Werner H MessDepartment of Clinical Neurophysiology, Maastricht University Medical Centre, the Netherlands.ORCID 0000-0002-9736-9941
Paul J NederkoornDepartment of Neurology, Amsterdam University Medical Centres, Location AMC, the Netherlands.ORCID 0000-0001-7386-4545
Nicolas ChristDepartment of Neurology, University Hospital of Würzburg, Germany.
Maximilian BellutDepartment of Neurology, University Hospital of Würzburg, Germany.ORCID 0000-0002-6462-9495
Sarah GunkelDepartment of Neurology, University Hospital of Würzburg, Germany.
Christopher Charles KarayiannisPeninsula Clinical School, Peninsula Health, Monash University, Melbourne, Australia.ORCID 0000-0001-8301-7171
John LyStroke and Ageing Research Group, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.ORCID 0000-0002-9962-4766
Shaloo SinghalStroke and Ageing Research Group, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.ORCID 0000-0003-4348-5979
Lee-Anne SlaterDepartment of Interventional Radiology, Monash Health, Clayton, Victoria, Australia.ORCID 0000-0002-1140-8664
Young Dae KimDepartment of Neurology, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0001-5750-2616
Keon-Joo LeeDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0002-6571-7091
Jae-Sung LimDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-6157-2908
Hideo HaraDivision of Neurology, Department of Internal Medicine, Saga University Faculty of Medicine, Nabeshima, Japan.ORCID 0000-0003-3289-3555
Masashi NishiharaDepartment of Radiology, Saga University Faculty of Medicine, Nabeshima, Japan.ORCID 0000-0002-5747-1968
Jun TanakaDivision of Neurology, Department of Internal Medicine, Saga University Faculty of Medicine, Nabeshima, Japan.
Masaaki YoshikawaDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0001-5318-9431
Derya Selcuk DemirelliDivision of Neurology, Department of Internal Medicine, Saga University Faculty of Medicine, Nabeshima, Japan.ORCID 0000-0003-4148-207X
Zeynep TanriverdiDepartment of Radiology, Saga University Faculty of Medicine, Nabeshima, Japan.
Ender UysalDepartment of Neurology, Sisli Hamidiye Etfal Teaching and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Shelagh B Couttsİzmir Katip Çelebi University Atatürk Education and Research Hospital Department of Neurology, Izmir, Turkey.ORCID 0000-0001-5090-5105
Francesca M ChappellSaglık Bilimleri University Sisli Etfal Education and Research Hospital Department of Radiology, Istanbul, Turkey.ORCID 0000-0002-7742-1757
Stephen Dj MakinCentre for Clinical Brain Sciences, Edinburgh Imaging, University of Edinburgh, United Kingdom.ORCID 0000-0001-8701-9043
Henry Ka Fung MakUK Dementia Institute at the University of Edinburgh, United Kingdom.ORCID 0000-0002-2007-0650
Kay Cheong TeoInstitute of Applied Health Sciences, University of Aberdeen, United Kingdom.ORCID 0000-0002-3291-2958
Debbie Y K WongInstitute of Applied Health Sciences, University of Aberdeen, United Kingdom.
Lisa HertDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0002-6373-3928
Marta KubackaDivision of Neurology, Department of Medicine, The University of Hong Kong, Hong Kong.ORCID 0009-0007-9271-4148
Philippe A LyrerDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0002-1435-1114
Alexandros A PolymerisDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0002-9475-2208
Benjamin WagnerDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0001-9330-1790
Annaelle ZietzDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0002-4362-2497
Jill AbrigoDepartment of Neurology and Stroke Centre, University Hospital Basel and University of Basel, Switzerland.ORCID 0000-0001-5238-709X
Cyrus ChengInstitute of Applied Health Sciences, University of Aberdeen, United Kingdom.ORCID 0009-0009-1388-3715
Winnie Cw ChuDepartment of Neurology and Stroke Centre, University Hospital Basel and University of Basel, Switzerland.ORCID 0000-0003-4962-4132
Thomas W LeungStroke Center Klinik Hirslanden, Zürich, Switzerland.ORCID 0000-0001-8193-0709
David Julian SeiffgeDepartment of Clinical Medicine, Aalborg University, Denmark.ORCID 0000-0003-3890-3849
Urs FischerDepartment of Clinical Medicine, Aalborg University, Denmark.ORCID 0000-0003-0521-4051
Simon JungDepartment of Clinical Medicine, Aalborg University, Denmark.ORCID 0000-0003-2781-7961
Daniel BosDepartment of Neurology, University Hospital Inselspital Bern, University of Bern, Switzerland.ORCID 0000-0001-8979-2603
Felix FluriDepartment of Clinical Neurophysiology, Maastricht University Medical Centre, the Netherlands.ORCID 0000-0002-2595-5431
Thanh G PhanDepartment of Neurology, University Hospital of Würzburg, Germany.ORCID 0000-0003-3400-6323
Velandai K SrikanthDepartment of Neurology, Amsterdam University Medical Centres, Location AMC, the Netherlands.ORCID 0000-0002-8442-8981
Ji Hoe HeoStroke and Ageing Research Group, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.ORCID 0000-0001-9898-3321
Hee-Joon BaeDepartment of Interventional Radiology, Monash Health, Clayton, Victoria, Australia.ORCID 0000-0003-0051-1997
Yusuke YakushijiDepartment of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.ORCID 0000-0003-3206-6939
Dilek Necioglu OrkenDepartment of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.ORCID 0000-0002-1118-5309
Eric E Smithİzmir Katip Çelebi University Atatürk Education and Research Hospital Department of Neurology, Izmir, Turkey.ORCID 0000-0003-3956-1668
Joanna M WardlawSaglık Bilimleri University Sisli Etfal Education and Research Hospital Department of Radiology, Istanbul, Turkey.ORCID 0000-0002-9812-6642
Gary Kui Kai LauInstitute of Applied Health Sciences, University of Aberdeen, United Kingdom.ORCID 0000-0002-8657-2418
Stefan T EngelterDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0003-3855-6234
Nils PetersDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong.ORCID 0000-0001-8451-7389
Yannie O Y SooStroke Center Klinik Hirslanden, Zürich, Switzerland.ORCID 0000-0002-3489-3201
Tae-Jin SongDepartment of Neurology, İstanbul Nişantaşı University, Turkey.ORCID 0000-0002-9937-762X
Robert J SimisterUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0003-0578-6711
David C WheelerNeurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, Switzerland.ORCID 0000-0003-0745-3478
David J WerringUCL Stroke Research Centre, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, United Kingdom.ORCID 0000-0003-2074-1861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesEnlarged perivascular spaces (EPVSs) in the basal ganglia (BG-EPVS) are an important marker of cerebral small vessel disease (cSVD), and EPVS in the centrum semiovale (CSO-EPVS) are part of the diagnostic criteria for cerebral amyloid angiopathy. We aimed to investigate associations of EPVS with reduced estimated glomerular filtration rate (eGFR) and glomerular hyperfiltration (higher than normal eGFR), which have scarcely been studied previously.

methodsIn this cross-sectional study, we used pooled individual patient data from the Microbleeds International Collaborative Network which includes patients with ischemic stroke or transient ischemic attack. We investigated associations of impaired kidney function, defined as an eGFR of 30-60 or <30 mL/minute/1.73 m

resultsSeven thousand two hundred fifty-four patients (mean age 71 ± 13 years, 43% female) were included in the analysis, 357 with glomerular hyperfiltration, 1,692 with eGFR 30-60, and 256 with eGFR <30. Compared with normal glomerular filtration, hyperfiltration was independently associated with BG-EPVS (adjusted odds ratio [aOR] 1.38, 95% CI 1.11-1.70, DISCUSSION: Glomerular hyperfiltration was independently associated with EPVS severity, in both the basal ganglia and centrum semiovale. eGFR <30 was independently associated with total cSVD burden. A key limitation was a lack of repeated eGFR measurements.

Indexed as

Basal GangliaCerebral Small Vessel DiseasesGlomerular Filtration RateGlymphatic SystemKidneyAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID42551001
PMCPMC13445499

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