Clinically Silent Small Vessel Disease of the Brain in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

Bibliographic Details
Title: Clinically Silent Small Vessel Disease of the Brain in Patients with Obstructive Sleep Apnea Hypopnea Syndrome
Authors: Dimitrios G. Raptis, Olga Sinani, Georgia G. Rapti, Aikaterini Papanikolaou, Katerina Dadouli, Panagiotis Ntellas, Eftychia Z. Kapsalaki, Foteini Malli, Konstantinos I. Gourgoulianis, Georgia Xiromerisiou
Source: Diagnostics, Vol 11, Iss 9, p 1673 (2021)
Publisher Information: MDPI AG, 2021.
Publication Year: 2021
Collection: LCC:Medicine (General)
Subject Terms: obstructive sleep apnea hypopnea syndrome, small vessel disease, white matter, Medicine (General), R5-920
More Details: Obstructive sleep apnea hypopnea syndrome (OSAHS) is associated with increased risk of cerebrovascular disease. The aim of the present study was to investigate the association between the presence of the small vessel disease (SVD) of the brain in patients with OSAHS. The study included 24 patients with moderate to severe OSAHS and 34 healthy volunteers. All the subjects underwent magnetic resonance imaging (MRI) of the brain, in order to sought periventricular white matter (PVWM), deep white matter (DWM) and brainstem SVD. Among patients with OSAHS, 79.1% had SVD (grade 1–3, Fazekas score) in DWM and 91.7% in PVWM while 22.4% had brainstem—white matter hyperintensities (B-WMH). Patients with OSAHS had a much higher degree of SVD in the DWM and PVWM compared to the control group (p < 0.001). The multivariate analysis showed an independent significant association of OSAHS with SVD (DWM and PVWM) (p = 0.033, OR 95% CI: 8.66 (1.19–63.08) and: p = 0.002, OR 95% CI: 104.98 (5.15–2141)). The same analysis showed a moderate association of OSAHS with B-WMH (p = 0.050, OR 15.07 (0.97–234.65)). Our study demonstrated an independent significant association of OSAHS with SVD and a moderate association of OSAHS with B-WMH.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 11091673
2075-4418
Relation: https://www.mdpi.com/2075-4418/11/9/1673; https://doaj.org/toc/2075-4418
DOI: 10.3390/diagnostics11091673
Access URL: https://doaj.org/article/71d583524cc743979b414e9cfbed11f7
Accession Number: edsdoj.71d583524cc743979b414e9cfbed11f7
Database: Directory of Open Access Journals
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