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Gepubliceerd in: Neuropraxis 2/2007

01-04-2007 | Artikelen

Microvasculaire schade en cognitieve achteruitgang bij type-1-diabetes

Auteurs: Alette Wessels, Frank Snoek, Frederik Barkhof, Robert Heine

Gepubliceerd in: Neuropraxis | Uitgave 2/2007

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Abstract

Type-1-diabetes is een stofwisselingsziekte die wordt gekenmerkt door een chronisch verhoogde bloedglucosespiegel (hyperglykemie) als gevolg van een insulinesecretiedefect. De behandeling bestaat uit het meermalen daags toedienen van insuline. Ondanks de beschikbaarheid van diverse soorten insuline en moderne toedieningsystemen en technieken om thuis de bloedglucosewaarden te controleren, ervaren patiënten fluctuaties in hun bloedglucosespiegel, variërend van hypoglykemie (lage bloedglucosewaarden) tot hyperglykemie. Langdurige hyperglykemie is verantwoordelijk voor het ontstaan van microvasculaire complicaties, zoals retinopathie, nefropathie en perifere neuropathie. Onbekend is of microvasculaire schade zich ook in het brein manifesteert.
Literatuur
go back to reference Brands, A.M., Biessels, G.J., de Haan, E.H., Kappelle, L.J. & Kessels, R.P. (2005). The Effects of Type-1-diabetes on Cognitive Performance: A meta-analysis. Diabetes Care 28: 726–735. Brands, A.M., Biessels, G.J., de Haan, E.H., Kappelle, L.J. & Kessels, R.P. (2005). The Effects of Type-1-diabetes on Cognitive Performance: A meta-analysis. Diabetes Care 28: 726–735.
go back to reference Brands, A.M., Kessels, R.P., Hoogma, R.P., et al. (2006). Cognitive performance, psychological well-being, and brain magnetic resonance imaging in older patients with type-1-diabetes. Diabetes 55: 1800–1806. Brands, A.M., Kessels, R.P., Hoogma, R.P., et al. (2006). Cognitive performance, psychological well-being, and brain magnetic resonance imaging in older patients with type-1-diabetes. Diabetes 55: 1800–1806.
go back to reference Chabriat, H., Sachon, C., Levasseur, M., et al. (1994). Brain metabolism after recurrent insulin induced hypoglycaemic episodes: a pet study. J Neurol Neurosurg Psychiatry 57: 1360–1365. Chabriat, H., Sachon, C., Levasseur, M., et al. (1994). Brain metabolism after recurrent insulin induced hypoglycaemic episodes: a pet study. J Neurol Neurosurg Psychiatry 57: 1360–1365.
go back to reference Cranston, I., Reed, L.J., Marsden, P.K. & Amiel, S.A. (2001). Changes in regional brain (18)F-fluorodeoxyglucose uptake at hypoglycemia in type 1 diabetic men associated with hypoglycemia unawareness and counter-regulatory failure. Diabetes 50: 2329–2336. Cranston, I., Reed, L.J., Marsden, P.K. & Amiel, S.A. (2001). Changes in regional brain (18)F-fluorodeoxyglucose uptake at hypoglycemia in type 1 diabetic men associated with hypoglycemia unawareness and counter-regulatory failure. Diabetes 50: 2329–2336.
go back to reference DeCarli, C., Murphy, D.G., Tranh, M., et al. (1995). The effect of white matter hyperintensity volume on brain structure, cognitive performance, and cerebral metabolism of glucose in 51 healthy adults. Neurology 45: 2077–2084. DeCarli, C., Murphy, D.G., Tranh, M., et al. (1995). The effect of white matter hyperintensity volume on brain structure, cognitive performance, and cerebral metabolism of glucose in 51 healthy adults. Neurology 45: 2077–2084.
go back to reference De Jong, R., (1950). The nervous system complications in diabetes mellitus with special reference to cerebrovascular changes. J Nerv Ment Dis 111: 181–206. De Jong, R., (1950). The nervous system complications in diabetes mellitus with special reference to cerebrovascular changes. J Nerv Ment Dis 111: 181–206.
go back to reference De la Torre, J.C. & Mussivand, T. (1993). Can disturbed brain microcirculation cause Alzheimer's disease? Neurol Res 15: 146–153. De la Torre, J.C. & Mussivand, T. (1993). Can disturbed brain microcirculation cause Alzheimer's disease? Neurol Res 15: 146–153.
go back to reference Dow, C., Seidenberg, M. & Hermann, B. (2004). Relationship between information processing speed in temporal lobe epilepsy and white matter volume. Epilepsy Behav 5: 919–925. Dow, C., Seidenberg, M. & Hermann, B. (2004). Relationship between information processing speed in temporal lobe epilepsy and white matter volume. Epilepsy Behav 5: 919–925.
go back to reference Farkas, E. & Luiten, P.G. (2001). Cerebral microvascular pathology in aging and Alzheimer's disease. Prog Neurobiol 64: 575–611. Farkas, E. & Luiten, P.G. (2001). Cerebral microvascular pathology in aging and Alzheimer's disease. Prog Neurobiol 64: 575–611.
go back to reference Ferguson, S.C., Blane, A., Perros, P., et al. (2003). Cognitive ability and brain structure in type-1-diabetes: relation to microangiopathy and preceding severe hypoglycemia. Diabetes 52: 149–156. Ferguson, S.C., Blane, A., Perros, P., et al. (2003). Cognitive ability and brain structure in type-1-diabetes: relation to microangiopathy and preceding severe hypoglycemia. Diabetes 52: 149–156.
go back to reference Filley, C. (2001). The behavioral neurology of white matter. Oxford University Press, New York. Filley, C. (2001). The behavioral neurology of white matter. Oxford University Press, New York.
go back to reference Fulesdi, B., Limburg, M., Bereczki, D., et al. (1997). Impairment of cerebrovascular reactivity in long-term type-1-diabetes. Diabetes 46: 1840–1845. Fulesdi, B., Limburg, M., Bereczki, D., et al. (1997). Impairment of cerebrovascular reactivity in long-term type-1-diabetes. Diabetes 46: 1840–1845.
go back to reference Greene, D.A., Lattimer, S.A. & Sima, A.A. (1987). Sorbitol, phosphoinositides, and sodium-potassium-atpase in the pathogenesis of diabetic complications. N Engl J Med 316: 599–606. Greene, D.A., Lattimer, S.A. & Sima, A.A. (1987). Sorbitol, phosphoinositides, and sodium-potassium-atpase in the pathogenesis of diabetic complications. N Engl J Med 316: 599–606.
go back to reference Johnson, P.C., Brendel, K. & Meezan, E. (1982). Thickened cerebral cortical capillary basement membranes in diabetics. Arch Pathol Lab Med 106: 214–217. Johnson, P.C., Brendel, K. & Meezan, E. (1982). Thickened cerebral cortical capillary basement membranes in diabetics. Arch Pathol Lab Med 106: 214–217.
go back to reference Kalaria, R.N. & Hedera, P. (1995). Differential degeneration of the cerebral microvasculature in Alzheimer's disease. Neuroreport 6: 477–480. Kalaria, R.N. & Hedera, P. (1995). Differential degeneration of the cerebral microvasculature in Alzheimer's disease. Neuroreport 6: 477–480.
go back to reference Kaplan, J.G., Katzman, R., Horoupian, D.S., Fuld, P.A., Mayeux, R. & Hays, A.P. (1985). Progressive dementia, visual deficits, amyotrophy, and microinfarcts. Neurology 35: 789–796. Kaplan, J.G., Katzman, R., Horoupian, D.S., Fuld, P.A., Mayeux, R. & Hays, A.P. (1985). Progressive dementia, visual deficits, amyotrophy, and microinfarcts. Neurology 35: 789–796.
go back to reference Kawamura, J., Meyer, J.S., Terayama, Y. & Weathers, S. (1991). Leukoaraiosis correlates with cerebral hypoperfusion in vascular dementia. Stroke 22: 609–614. Kawamura, J., Meyer, J.S., Terayama, Y. & Weathers, S. (1991). Leukoaraiosis correlates with cerebral hypoperfusion in vascular dementia. Stroke 22: 609–614.
go back to reference Keymeulen, B., Jacobs, A., de Metz, K., de Sadeleer, C., Bossuyt & A., Somers, G. (1995). Regional cerebral hypoperfusion in long-term type 1 (insulin-dependent) diabetic patients: relation to hypoglycaemic events. Nucl Med Commun 16: 10–16. Keymeulen, B., Jacobs, A., de Metz, K., de Sadeleer, C., Bossuyt & A., Somers, G. (1995). Regional cerebral hypoperfusion in long-term type 1 (insulin-dependent) diabetic patients: relation to hypoglycaemic events. Nucl Med Commun 16: 10–16.
go back to reference Kobari, M., Meyer, J.S. & Ichijo, M. (1990). Leuko-araiosis, cerebral atrophy, and cerebral perfusion in normal aging. Arch Neurol 47: 161–165. Kobari, M., Meyer, J.S. & Ichijo, M. (1990). Leuko-araiosis, cerebral atrophy, and cerebral perfusion in normal aging. Arch Neurol 47: 161–165.
go back to reference Kovari, E., Gold, G., Herrmann, F.R., et al. (2004). Cortical microinfarcts and demyelination significantly affect cognition in brain aging. Stroke 35: 410–414. Kovari, E., Gold, G., Herrmann, F.R., et al. (2004). Cortical microinfarcts and demyelination significantly affect cognition in brain aging. Stroke 35: 410–414.
go back to reference Kuhl, D.E., Metter, E.J., Riege, W.H. & Hawkins, R.A. (1984). The effect of normal aging on patterns of local cerebral glucose utilization. Ann Neurol 15 Suppl: S133–137. Kuhl, D.E., Metter, E.J., Riege, W.H. & Hawkins, R.A. (1984). The effect of normal aging on patterns of local cerebral glucose utilization. Ann Neurol 15 Suppl: S133–137.
go back to reference MacLeod, K.M., Hepburn, D.A., Deary, I.J., et al. (1994), Regional cerebral blood flow in iddm patients: effects of diabetes and of recurrent severe hypoglycaemia. Diabetologia 37: 257–263. MacLeod, K.M., Hepburn, D.A., Deary, I.J., et al. (1994), Regional cerebral blood flow in iddm patients: effects of diabetes and of recurrent severe hypoglycaemia. Diabetologia 37: 257–263.
go back to reference MacLeod, K.M., Gold, A.E., Ebmeier, K.P., et al. (1996). The effects of acute hypoglycemia on relative cerebral blood flow distribution in patients with type I (insulin-dependent) diabetes and impaired hypoglycemia awareness. Metabolism 45: 974–980. MacLeod, K.M., Gold, A.E., Ebmeier, K.P., et al. (1996). The effects of acute hypoglycemia on relative cerebral blood flow distribution in patients with type I (insulin-dependent) diabetes and impaired hypoglycemia awareness. Metabolism 45: 974–980.
go back to reference Marchal, G., Rioux, P., Petit-Taboue, M.C., et al. (1992). Regional cerebral oxygen consumption, blood flow, and blood volume in healthy human aging. Arch Neurol 49: 1013–1020. Marchal, G., Rioux, P., Petit-Taboue, M.C., et al. (1992). Regional cerebral oxygen consumption, blood flow, and blood volume in healthy human aging. Arch Neurol 49: 1013–1020.
go back to reference Mielke, R., Herholz, K., Grond, M., Kessler, J. & Heiss, W.D. (1992). Severity of vascular dementia is related to volume of metabolically impaired tissue. Arch Neurol 49: 909–913. Mielke, R., Herholz, K., Grond, M., Kessler, J. & Heiss, W.D. (1992). Severity of vascular dementia is related to volume of metabolically impaired tissue. Arch Neurol 49: 909–913.
go back to reference Miles, W. & Root, F. (1922). Psychologic tests applied to diabetic patients. Archives of Internal Medicine 30: 769–777. Miles, W. & Root, F. (1922). Psychologic tests applied to diabetic patients. Archives of Internal Medicine 30: 769–777.
go back to reference Reichard, P., Berglund, B., Britz, A., Cars, I., Nilsson, B.Y. & Rosenqvist, U. (1991). Intensified conventional insulin treatment retards the microvascular complications of insulin-dependent diabetes mellitus (IDDM): the Stockholm Diabetes Intervention Study (sdis) after 5 years. J Intern Med 230: 101–108. Reichard, P., Berglund, B., Britz, A., Cars, I., Nilsson, B.Y. & Rosenqvist, U. (1991). Intensified conventional insulin treatment retards the microvascular complications of insulin-dependent diabetes mellitus (IDDM): the Stockholm Diabetes Intervention Study (sdis) after 5 years. J Intern Med 230: 101–108.
go back to reference Reiche, W., Weiller, C., Weigmann, R., et al. (1991). [A comparison of mrt and spect findings in patients with cerebral microangiopathy]. Nuklearmedizin 30: 161–169. Reiche, W., Weiller, C., Weigmann, R., et al. (1991). [A comparison of mrt and spect findings in patients with cerebral microangiopathy]. Nuklearmedizin 30: 161–169.
go back to reference Reske-Nielsen, E., Lundbaek, K. & Rafeisen, Q.J. (1965). Pathological changes in the cerebral and peripheral nervous system of young long-term diabetics. Diabetic encephalopathy. Diabetologia 1: 233–241. Reske-Nielsen, E., Lundbaek, K. & Rafeisen, Q.J. (1965). Pathological changes in the cerebral and peripheral nervous system of young long-term diabetics. Diabetic encephalopathy. Diabetologia 1: 233–241.
go back to reference Ryan, C.M., Geckle, M.O. & Orchard, T.J. (2003). Cognitive efficiency declines over time in adults with Type-1-diabetes: effects of micro- and macrovascular complications. Diabetologia 46: 940–948. Ryan, C.M., Geckle, M.O. & Orchard, T.J. (2003). Cognitive efficiency declines over time in adults with Type-1-diabetes: effects of micro- and macrovascular complications. Diabetologia 46: 940–948.
go back to reference Ryan, C.M., Williams, T.M., Orchard, T.J. & Finegold, D.N. (1992). Psychomotor slowing is associated with distal symmetrical polyneuropathy in adults with diabetes mellitus. Diabetes 41: 107–113. Ryan, C.M., Williams, T.M., Orchard, T.J. & Finegold, D.N. (1992). Psychomotor slowing is associated with distal symmetrical polyneuropathy in adults with diabetes mellitus. Diabetes 41: 107–113.
go back to reference Sabri, O., Hellwig, D., Schreckenberger, M., et al. (2000), Influence of diabetes mellitus on regional cerebral glucose metabolism and regional cerebral blood flow. Nucl Med Commun 21: 19. Sabri, O., Hellwig, D., Schreckenberger, M., et al. (2000), Influence of diabetes mellitus on regional cerebral glucose metabolism and regional cerebral blood flow. Nucl Med Commun 21: 19.
go back to reference Sabri, O., Ringelstein, E.B., Hellwig, D., et al. (1999). Neuropsychological impairment correlates with hypoperfusion and hypometabolism but not with severity of white matter lesions on mri in patients with cerebral microangiopathy. Stroke 30: 556–566. Sabri, O., Ringelstein, E.B., Hellwig, D., et al. (1999). Neuropsychological impairment correlates with hypoperfusion and hypometabolism but not with severity of white matter lesions on mri in patients with cerebral microangiopathy. Stroke 30: 556–566.
go back to reference Sanfilipo, M., Lafargue, T., Rusinek, H., et al. (2002). Cognitive performance in schizophrenia: relationship to regional brain volumes and psychiatric symptoms. Psychiatry Res 116: 1–23. Sanfilipo, M., Lafargue, T., Rusinek, H., et al. (2002). Cognitive performance in schizophrenia: relationship to regional brain volumes and psychiatric symptoms. Psychiatry Res 116: 1–23.
go back to reference Segel, S.A., Fanelli, C.G., Dence, C.S., et al. (2001). Blood-to-brain glucose transport, cerebral glucose metabolism, and cerebral blood flow are not increased after hypoglycemia. Diabetes 50: 1911–1917. Segel, S.A., Fanelli, C.G., Dence, C.S., et al. (2001). Blood-to-brain glucose transport, cerebral glucose metabolism, and cerebral blood flow are not increased after hypoglycemia. Diabetes 50: 1911–1917.
go back to reference Snowdon, D.A., Greiner, L.H., Mortimer, J.A., Riley, K.P., Greiner, P.A. & Markesbery, W.R. (1997). Brain infarction and the clinical expression of Alzheimer disease. The Nun Study. jama 277: 813–817. Snowdon, D.A., Greiner, L.H., Mortimer, J.A., Riley, K.P., Greiner, P.A. & Markesbery, W.R. (1997). Brain infarction and the clinical expression of Alzheimer disease. The Nun Study. jama 277: 813–817.
go back to reference Tallroth, G., Ryding, E. & Agardh, C.D. (1993). The influence of hypoglycaemia on regional cerebral blood flow and cerebral volume in type 1 (insulin-dependent) diabetes mellitus. Diabetologia 36: 530–535. Tallroth, G., Ryding, E. & Agardh, C.D. (1993). The influence of hypoglycaemia on regional cerebral blood flow and cerebral volume in type 1 (insulin-dependent) diabetes mellitus. Diabetologia 36: 530–535.
go back to reference The Diabetes Control and Complications Trial Research Group (1996). Effects of intensive diabetes therapy on neuropsychological function in adults in the Diabetes Control and Complications Trial. Ann Intern Med 124: 379–388. The Diabetes Control and Complications Trial Research Group (1996). Effects of intensive diabetes therapy on neuropsychological function in adults in the Diabetes Control and Complications Trial. Ann Intern Med 124: 379–388.
go back to reference Tomlinson, B.E., Blessed, G. & Roth, M. (1970). Observations on the brains of demented old people. J Neurol Sci 11: 205–242. Tomlinson, B.E., Blessed, G. & Roth, M. (1970). Observations on the brains of demented old people. J Neurol Sci 11: 205–242.
go back to reference Wessels, A.M., Rombouts, S.A., Simsek, S., et al. (2006). Microvascular disease in type-1-diabetes alters brain activation: a functional magnetic resonance imaging study. Diabetes 55: 334–340. Wessels, A.M., Rombouts, S.A., Simsek, S., et al. (2006). Microvascular disease in type-1-diabetes alters brain activation: a functional magnetic resonance imaging study. Diabetes 55: 334–340.
go back to reference Wessels, A.M., Simsek, S., Remijnse, P.L., et al. (2006). Voxel-based morphometry demonstrates reduced grey matter density on brain mri in patients with diabetic retinopathy. Diabetologia 49: 2474–2480. Wessels, A.M., Simsek, S., Remijnse, P.L., et al. (2006). Voxel-based morphometry demonstrates reduced grey matter density on brain mri in patients with diabetic retinopathy. Diabetologia 49: 2474–2480.
go back to reference Wong, T.Y., Klein, R., Klein, B.E., Tielsch, J.M., Hubbard, L. & Nieto, F.J. (2001). Retinal microvascular abnormalities and their relationship with hypertension, cardiovascular disease, and mortality. Surv Ophthalmol 46: 59–80. Wong, T.Y., Klein, R., Klein, B.E., Tielsch, J.M., Hubbard, L. & Nieto, F.J. (2001). Retinal microvascular abnormalities and their relationship with hypertension, cardiovascular disease, and mortality. Surv Ophthalmol 46: 59–80.
go back to reference Yamaguchi, T., Kanno, I., Uemura, K., et al. (1986). Reduction in regional cerebral metabolic rate of oxygen during human aging. Stroke 17: 1220–1228. Yamaguchi, T., Kanno, I., Uemura, K., et al. (1986). Reduction in regional cerebral metabolic rate of oxygen during human aging. Stroke 17: 1220–1228.
go back to reference Yao, H., Sadoshima, S., Kuwabara, Y., Ichiya, Y. & Fujishima, M. (1990). Cerebral blood flow and oxygen metabolism in patients with vascular dementia of the Binswanger type. Stroke 21: 1694–1699. Yao, H., Sadoshima, S., Kuwabara, Y., Ichiya, Y. & Fujishima, M. (1990). Cerebral blood flow and oxygen metabolism in patients with vascular dementia of the Binswanger type. Stroke 21: 1694–1699.
Metagegevens
Titel
Microvasculaire schade en cognitieve achteruitgang bij type-1-diabetes
Auteurs
Alette Wessels
Frank Snoek
Frederik Barkhof
Robert Heine
Publicatiedatum
01-04-2007
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Neuropraxis / Uitgave 2/2007
Print ISSN: 1387-5817
Elektronisch ISSN: 1876-5785
DOI
https://doi.org/10.1007/BF03079121

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