Evidence map›Paper›PMID 41499267›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Silent yet impaired: Hidden memory processing deficits in asymptomatic individuals with moderate-to-severe white matter hyperintensities.

Aonan Li, Lei Liu, Yueyan Bian, Yuanyuan Lu, Xiuqin Jia, Yuanyuan Chen, Yi Tang, Yi Xing

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Aonan LiDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Lei LiuDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Yueyan BianDepartment of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Yuanyuan LuDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Xiuqin JiaDepartment of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Yuanyuan ChenDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Yi TangDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Yi XingDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.

Funding

National Key Research and Development Program of China 2022YFC3602600National Key Research and Development Program of China 2023YFC3603200National Natural Science Foundation of China 81970996National Natural Science Foundation of China 82220108009National Natural Science Foundation of China 82371199Postdoctoral Fellowship Program of CPSF GZC20231740STI2030-Major Projects 2021ZD0201801
6 · The paper itself

Abstract

introductionWhite matter hyperintensities (WMHs) are strongly associated with cognitive decline and dementia, but whether asymptomatic individuals with moderate-to-severe WMHs (msWMHs) are truly cognitively intact, particularly in visual short-term memory (VSTM), remains unclear.

methodsElectroencephalography and diffusion tensor imaging (DTI) was obtained from 45 msWMH patients and 38 normal controls during an occluded-face delay-matching task.

resultsIndividuals with msWMH showed systematic deficits in face-memory processing across encoding, maintenance, and retrieval, accompanied by reduced theta power and synchronization, altered alpha power, and disrupted theta-gamma coupling. DTI further revealed microstructural damage, particularly in the inferior fronto-occipital fasciculus (IFOF), superior longitudinal fasciculus (SLF), and inferior longitudinal fasciculus (ILF), which mediated the effects on global cognition via encoding-related theta oscillations. DISCUSSION: These findings indicate that individuals with msWMH already show hidden VSTM deficits. Theta oscillations mediate the link between tract integrity and global cognition, highlighting a potential preclinical intervention target. HIGHLIGHTS: Asymptomatic individuals with moderate-to-severe white matter hyperintensities (msWMHs) already show visual short-term memory (VSTM) deficits. Electroencephalography revealed abnormal neural oscillations during encoding, maintenance, and retrieval stages. Damage to the inferior fronto-occipital fasciculus (IFOF), superior longitudinal fasciculus (SLF), and inferior longitudinal fasciculus (ILF) affects cognition via theta oscillations. Theta activity mediates structure - function coupling and may serve as a preclinical intervention target.

Indexed as

Memory DisordersMemory, Short-TermWhite MatterAgedBrainDiffusion Tensor ImagingElectroencephalographyFemaleHumansMaleMiddle AgedNeuropsychological Testsfractional anisotropyneural oscillationsphase–amplitude couplingvisual short‐term memorywhite matter hyperintensities

Identifiers

PMID41499267
PMCPMC12778417

What Socratic holds

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LicenceCC BY
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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 Socratic graph.