{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:42:12Z","timestamp":1785332532985,"version":"3.55.0"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Patients with moyamoya vasculopathy often experience cognitive impairments. In this prospective single-center study, the authors investigated the profile of neurocognitive impairment and its relation with the severity of ischemic brain lesions and hemodynamic compromise.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Patients treated in a Dutch tertiary referral center were prospectively included. All patients underwent standardized neuropsychological evaluation, MRI, digital subtraction angiography, and [<jats:sup>15<\/jats:sup>O]H<jats:sub>2<\/jats:sub>O-PET (to measure cerebrovascular reactivity [CVR]). The authors determined z-scores for 7 cognitive domains and the proportion of patients with cognitive impairment (z-score &lt; \u22121.5 SD in at least one domain). The authors explored associations between patient characteristics, imaging and CVR findings, and cognitive scores per domain by using multivariable linear regression and Bayesian regression analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 40 patients (22 children; 75% females) were included. The median age for children was 9 years (range 1\u201316 years); for adults it was 39 years (range 19\u201353 years). Thirty patients (75%) had an infarction, and 31 patients (78%) had impaired CVR (steal phenomenon). Six of 7 cognitive domains scored below the population norm. Twenty-nine patients (73%) had cognitive impairment. Adults performed better than children in the cognitive domain visuospatial functioning (p = 0.033, Bayes factor = 4.0), and children performed better in processing speed (p = 0.041, Bayes factor = 3.5). The authors did not find an association between infarction, white matter disease, or CVR and cognitive domains.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>In this Western cohort, cognitive functioning in patients with moyamoya vasculopathy was below the population norm, and 73% had cognitive impairment in at least one domain. The cognitive profile differed between adults and children. The authors could not find an association with imaging findings.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2022.3.jns212844","type":"journal-article","created":{"date-parts":[[2022,5,6]],"date-time":"2022-05-06T08:19:01Z","timestamp":1651825141000},"page":"173-184","source":"Crossref","is-referenced-by-count":13,"title":["The profile of cognitive impairment and hemodynamic compromise in moyamoya: a single-center prospective cohort study"],"prefix":"10.3171","volume":"138","author":[{"given":"Annick","family":"Kronenburg","sequence":"first","affiliation":[{"name":"Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, Utrecht;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter T.","family":"Deckers","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, Utrecht;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Department of Neurology, Erasmus UMC, Rotterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique M.","family":"van Schooneveld","sequence":"additional","affiliation":[{"name":"Department of Pediatric Psychology, Wilhelmina Children\u2019s Hospital, UMC Utrecht;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evert-Jan","family":"Vonken","sequence":"additional","affiliation":[{"name":"Department of Radiology; UMC Utrecht Brain Center, Utrecht;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"van der Zwan","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, Utrecht;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart N. 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