Biomarker-based Assessment of Cerebral Small Vessel Disease Progression After Lacunar and Territorial Stroke - a Prospective Cohort Study
The goal of this prospective, observational study is to understand if cerebral small vessel disease (CSVD) has different velocities and patterns of temporal development, dependent on a concurrent ischemic stroke. It focusses on adult patients with known or newly diagnosed CSVD on magnetic resonance imaging. The study will evaluate if blood based, in parts central nervous system specific protein markers, so called biomarkers, have an additional value reflecting the course of CSVD as defined per MRI assessments. Further patient-relevant endpoints include neuropsychological abilities, neurological functional outcomes, quality of life assessments, stroke recurrence risk.
• Age ≥ 18 years
• Evidence of cerebral small vessel disease on brain MRI, defined as white matter hyperintensities (Fazekas grade 1-3)
• Assignment to one of the following study groups based on MRI findings:
• cerebral small vessel disease without evidence of an acute ischemic stroke
• cerebral small vessel disease with acute lacunar ischemic stroke
• cerebral small vessel disease with acute territorial ischemic stroke
• Ability to provide written informed consent
• Sufficient German language skills to understand study procedures and assessments