Clinical and diagnostic value of cerebral white matter lesions in administrative profile specialists
https://doi.org/10.25016/2541-7487-2014-0-3-27-33
Abstract
There were examined 83 administrative professionals of EMERCOM of Russia at the age from 34 up to 65 years old. All participants underwent magnetic resonance imaging (MRI) to assess the presence and severity of cerebral white matter lesions. Gliosis foci (cerebral white matter lesions [WML]) were detected in 60 (72 %) participants. Association was established between WML and management experience, atherosclerosis markers, circadian blood pressure rhythm. The most significant factors of micro WML were increased carotid intima-media thickness, carotid atherosclerotic plaques and degree of stenosis. In patients without pathological changes in carotid walls, non-dipping blood pressure and morning blood pressure surge were the major risk factors. Micro WML were associated with severity of brain atrophy (substitution hydrocephalus).

About the Authors
V. N. VasilevRussian Federation
Neurologist, Department of Clinical Neurology
V. V. Kindyashova
Russian Federation
Head of the Research Laboratory, Department of Clinical Neurology
V. V. Kozhevnikov
Russian Federation
Researcher, Department of Clinical Neurology
O. V. Tikhomirova
Russian Federation
Dr. Med. Sci., Head of the Department of Clinical Neurology
I. P. Lomova
Russian Federation
PhD Med. Sci., Senior Researcher, Department of Clinical Neurology
S. V. Serebryakova
Russian Federation
Dr. Med. Sci., Head of MRI consulting room, clinic No 1
References
1. Vereshchagin N.V., Gulevskaya T.S. Patologiya golovnogo mozga pri ateroskleroze i arterial'noi gipertonii [Brain pathology in atherosclerosis and hypertension]. Moskva. 1997. 228 p. (In Russ.)
2. Vrait K.B. [et al.]. Korrelyatsionnaya svyaz' mezhdu vyrazhennost'yu leikoareoza i urovnem vospalitel'nykh biomarkerov povyshennogo riska razvitiya sosudistykh zabolevanii [Correlation between the severity of leukoaraiosis and levels of inflammatory biomarkers of increased risk of cardiovascular disease]. Stroke. 2010. N 1. P. 24–32. (In Russ.)
3. Grigor'eva V.N., Gusov A.V., Kotova O.V. [et al.]. Rol' emotsional'nogo napryazheniya v razvitii nachal'nykh form khronicheskoi tserebrovaskulyarnoi nedostatochnosti [The role of emotional stress in the development of early forms of chronic cerebrovascular insufficiency]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [S.S. Kopsakov Journal of Neurology and Psychiatry]. 2000. N 5. P. 14–18. (In Russ.)
4. Guiraud V. [et al.]. Triggery ishemicheskogo insul'ta. Sistematicheskii obzor [Triggers of ischemic stroke. A systematic review]. Stroke. 2011. N 1. P. 73–83. (In Russ.)
5. Fedina N.V., Saarkoppel' L.M. Voprosy reabilitatsii pri tserebrovaskulyarnoi patologii u rabotnikov umstvennogo truda [Rehabilitation issues in cerebrovascular disease in non_manual workers]. Professiya i zdorov'e : materialy VI kongressa [Occupation and Health: proceedings of VI All_Russia Congress]. Moskva. 2007. P. 145–146. (In Russ.)
6. Bots M.L. [et al.]. Cerebral white matter lesions and atherosclerosis in the Rotterdam Study // Lancet. – 1993. – Vol. 341, N 8855. – P. 1232–1237.
7. Brisset M. [et al.]. Large_vessel correlates of cerebral small_vessel disease // Neurology. – 2013. – Vol. 80, N 7. – P. 662–669.
8. Chambless L.E. [et al.]. Carotid wall thickness is predictive of incident clinical stroke: the Atherosclerosis Risk in Communities (ARIC) study // Am. J. Epidemiol. – 2000. – Vol. 151, N 5. – P. 478– 487.
9. Goldstein I.B. [et al.]. Relationship between blood pressure and subcortical lesions in healthy elderly people // Stroke. – 1998. – Vol. 29, N 4. – P. 765–772.
10. Hollander M. [et al.]. Carotid plaques increase the risk of stroke and subtypes of cerebral infarction in asymptomatic elderly: the Rotterdam study // Circulation. – 2002. – Vol. 105, N 24. – P. 2872–2877.
11. Hoshi T., Kitagawa K. Relations of Serum High Sensitivity C_Reactive Protein and Interleukin_6 Levels With Silent Brain Infarction // Stroke. – 2005. – Vol. 36, N 4. – P. 768–772.
12. Kario K. [et al.]. Morning surge in blood pressure as a predictor of silent and clinical cerebrovascular disease in elderly hypertensives: a prospective study // Circulation. – 2003. – Vol. 107, N 10. – P. 1401–1406.
13. Kario K. [et al.]. Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives // Hypertension. – 2001. – Vol. 38, N 4. – P. 852–857.
14. Kobayashi S., Okada K. [et al.]. Subcortical silent brain infarction as a risk factor for clinical stroke // Stroke. – 1997. – Vol. 28, N 10. – P. 1932–1939.
15. Maillard P. [et al.]. Effects of systolic blood pressure on white_matter integrity in young adults in the Framingham Heart Study: a cross_sectional study // Lancet Neurol. – 2012. – Vol. 11, N 12. – P. 1039–1047.
16. Musialek P. [et al.]. Multimarker Approach in Discriminating Patients with Symptomatic and Asymptomatic Atherosclerotic Carotid Artery Stenosis // J. Clin. Neurol. – 2013. – Vol. 9, N 3. – P. 165–175.
17. Pico F. [et al.]. Longitudinal study of carotid atherosclerosis and white matter hyperintensities: the EVA_MRI cohort // Cerebrovasc. Dis. – 2002. – Vol. 14, N 2. – P. 109–115.
18. Shrestha I. [et al.]. Association between central systolic blood pressure, white matter lesions in cerebral MRI and carotid atherosclerosis // Hypertens. Res. – 2009. – Vol. 32, N 10. – P. 869–874.
19. Sierra C. [et al.]. Silent cerebral white matter lesions in middle_aged essential hypertensive patients // J. Hypertens. – 2002. – Vol. 20, N 3. – P. 519–524.
20. Touboul P.J. [et al.]. Mannheim Carotid IntimaMedia Thickness and Plaque Consensus (2004–2006– 2011) // Cerebrovasc. Dis. – 2012. – Vol. 34, N 4. – P. 290–296.
21. Vermeer S.E., Longstreth W.T., Koudstaal P.J. Silent brain infarcts: a systematic review // Lancet Neurol. – 2007. – Vol. 6, N 7. – P. 611–619.
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For citations:
Vasilev V.N., Kindyashova V.V., Kozhevnikov V.V., Tikhomirova O.V., Lomova I.P., Serebryakova S.V. Clinical and diagnostic value of cerebral white matter lesions in administrative profile specialists. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2014;(3):27-33. (In Russ.) https://doi.org/10.25016/2541-7487-2014-0-3-27-33