Evidence mapPaperPMID 36848423Full record

ReviewStroke2023

Cerebral Small Vessel Disease-Related Dementia: More Questions Than Answers.

Fanny M Elahi, Michael M Wang, James F Meschia

Open access · greenAbstract readReview
In one paragraph

Review in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
13.2field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Arterial stiffness moderates the link between NfL and cognition: The IGNITE study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  3. Article
  4. Targeting Neurovascular Pathways: Gene Therapy as a Novel Treatment for Vascular Dementia After Stroke.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Review
  5. Article
  6. Review
  7. Risk factors and prediction model of dysphagia in patients with recent small subcortical infarct.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Role of Necroptosis and Neuroinflammation in CSVD-Associated Cognitive Decline in db/db Mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

3 authors at 3 institutions in 1 country.

Fanny M ElahiDepartments of Neurology and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY (F.M.E.).
Michael M WangDepartments of Neurology and Molecular and Integrative Physiology, University of Michigan, Ann Arbor (M.M.W.).ORCID 0000-0002-5670-2496
James F MeschiaDepartment of Neurology, Mayo Clinic, Jacksonville, FL (J.F.M.).
Jacksonville College · USMontefiore Health System · USVA Ann Arbor Healthcare System · US

Funding

Long-Term Observational Extension of Participants in the CREST-2 Randomized Clinical TrialU01NS119169 · MAYO CLINIC JACKSONVILLE · 2025 to 2025
$741k
Carotid Revascularization and Medical Management for Asymptomatic CarotidStenosis Trial - Hemodynamics (CREST-H)R01NS097876 · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$574k
Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial (CREST-2)U01NS080168 · MAYO CLINIC JACKSONVILLE · 2025 to 2025
$459k
Advanced conformational changes in NOTCH3 and cerebrovascular disease severityI01BX003824 · VA · VETERANS HEALTH ADMINISTRATION · 2022 to 2025
A Precision Medicine Approach To Study Targetable Pathways in Vascular DementiaIK2CX002180 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI Fanny M Elahi · 2021 to 2021
BLRD VA I01 BX003824CSRD VA IK2 CX002180NINDS NIH HHS R01 NS097876NINDS NIH HHS R01 NS099160NINDS NIH HHS U01 NS080168NINDS NIH HHS U01 NS119169NINDS NIH HHS U19 NS115388
6 · The paper itself

Abstract

Cerebral small vessel disease (CSVD) has emerged as a common factor driving age-dependent diseases, including stroke and dementia. CSVD-related dementia will affect a growing fraction of the aging population, requiring improved recognition, understanding, and treatments. This review describes evolving criteria and imaging biomarkers for the diagnosis of CSVD-related dementia. We describe diagnostic challenges, particularly in the context of mixed pathologies and the absence of highly effective biomarkers for CSVD-related dementia. We review evidence regarding CSVD as a risk factor for developing neurodegenerative disease and potential mechanisms by which CSVD leads to progressive brain injury. Finally, we summarize recent studies on the effects of major classes of cardiovascular medicines relevant to CSVD-related cognitive impairment. Although many key questions remain, the increased attention to CSVD has resulted in a sharper vision for what will be needed to meet the upcoming challenges imposed by this disease.

Indexed as

Cerebral Small Vessel DiseasesDementiaAgedAgingBrain InjuriesHumansNeurodegenerative DiseasesAlzheimer diseasebiomarkerblood-brain barrierdementiamagnetic resonance imaging

Identifiers

PMID36848423
PMCPMC10357466
OpenAlexW4322490503

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.