Not exact matches
Whole brain radiotherapy (WBRT) significantly improves tumor control in the brain after SRS, yet because of its association with
cognitive decline, its role in the treatment of patients with brain metastases
remains controversial.
The experiment revealed that, for reasons that
remain unclear, the cholesterol - reducing treatment protects the heart in old age, although it doesn't guard against strokes or
cognitive decline.
There is a finely graded inverse association between age and
cognitive performance, 3 4 5 but the age at which
cognitive decline becomes evident at the population level
remains the subject of debate.5 6 7 A recent review of the literature concluded that there was little evidence of
cognitive decline before the age of 60.8 This point of view, however, is not universally accepted.5 6 Clinicopathological studies show good correlation between neuropathology and the severity of
cognitive decline, 9 10 11 and neurofibrillary tangles and amyloid plaques, the hallmarks of pathology, are known to be present in the brains of young adults.12 13 Emerging consensus on the long gestation period of dementia14 15 also suggests that adults aged under 60 are likely to experience age related
cognitive decline.
This
cognitive decline is not only due to the death of neurons, but also during aging there is a loss of neuronal connections called synapses, as well as a
decline in function of the
remaining synapses.
People with mild
cognitive impairment that improves in the shorter term
remain at increased risk of future
cognitive decline
To date, the immediate and lasting positive effects of quality care on language,
cognitive development, and school achievement have been confirmed by converging findings from large, reasonably representative longitudinal studies and smaller, randomized trials with long - term follow - ups.1, 2,9 - 13 Contributors to this knowledge base include meta - analytic reviews of interventions and large longitudinal studies conducted in several countries.1, 2,14,15 Comprehensive meta - analyses now establish that effects of early care
decline, but do not disappear, and when initial effects are large, long - term effects
remain substantial.1, 2 Null findings in
cognitive and social domains in a few studies may reasonably be attributed to the limitations inherent to their designs, samples, and measures.