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Research ArticleBrain

Association of White Matter Hyperintensities with Low Serum 25-Hydroxyvitamin D Levels

J.M. Prager, C. Thomas, W.J. Ankenbrandt, J.R. Meyer, Y. Gao, A. Ragin, S. Sidharthan, R. Hutten and Y.G. Wu
American Journal of Neuroradiology June 2014, 35 (6) 1145-1149; DOI: https://doi.org/10.3174/ajnr.A3840
J.M. Prager
aFrom the Department of Radiology (J.M.P., W.J.A., J.R.M., R.H., Y.G.W.), NorthShore University Health System, Evanston, Illinois
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C. Thomas
bDepartment of Endocrinology (C.T.), University of Chicago, Chicago, Illinois
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W.J. Ankenbrandt
aFrom the Department of Radiology (J.M.P., W.J.A., J.R.M., R.H., Y.G.W.), NorthShore University Health System, Evanston, Illinois
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J.R. Meyer
aFrom the Department of Radiology (J.M.P., W.J.A., J.R.M., R.H., Y.G.W.), NorthShore University Health System, Evanston, Illinois
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Y. Gao
cDepartments of Statistics (Y.G.)
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A. Ragin
dRadiology (A.R.), Northwestern University, Evanston, Illinois
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S. Sidharthan
eDepartment of Radiology (S.S.), Monmouth Medical Center, Long Branch, New Jersey.
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R. Hutten
aFrom the Department of Radiology (J.M.P., W.J.A., J.R.M., R.H., Y.G.W.), NorthShore University Health System, Evanston, Illinois
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Y.G. Wu
aFrom the Department of Radiology (J.M.P., W.J.A., J.R.M., R.H., Y.G.W.), NorthShore University Health System, Evanston, Illinois
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  • Fig 1.
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    Fig 1.

    FLAIR image just above ventricles shows punctuate and confluent white matter T2 hyperintensities. From left to right: juxtacortical punctate, juxtacortical confluent, periventricular punctate, and central punctate.

  • Fig 2.
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    Fig 2.

    Probability value of correlation between Vitamin D level and white matter T2 hyperintensities in subjects without vitamin D supplementation by lesion location and type (n = 17, age >50 years). Bar height represents P value of relationship between WMH and serum 25-hydroxyvitamin D. Bars lower than the horizontal line are less than .05 and are significant. Correlation coefficient (r) value is shown above each bar. Red bars are punctate lesions, green bars are confluent lesions by size, and blue bars are confluent lesion number. J indicates juxtacortical; C, central; and P, periventricular.

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    Table 1:

    Demographics and clinical profiles

    Age, YearsnVit D <20Vit D ≥20
    31–49; mean, 38.22210 (7 female, 3 male)12 (11 female, 1 male)
    7 white, 3 black12 white
    1 hypertensive, 1 diabetic2 hypertensive, 2 diabetic
    1 supplemental vitamin D8 supplemental vitamin D
    50–69; mean, 59.52511 (7 female, 4 male)14 (11 female, 3 male)
    7 white, 4 black13 white, 1 black
    8 hypertensive (2 uncontrolled)10 hypertensive (2 uncontrolled)
    4 diabetic (1 uncontrolled)3 diabetic (1 uncontrolled)
    1 supplemental vitamin D7 supplemental vitamin D
    • View popup
    Table 2:

    Pearson correlation of patients with migraine and WMH (n = 47)

    WMH RegionCorrelation CoefficientP Value
    Punctate lesionsJuxtacortical−0.283.054
    Central−0.409.004
    Periventricular−0.359.013
    Confluent lesionsJuxtacortical−0.235.112
    Central−0.214.148
    Periventricular−0.321.028
    No. of lesionsJuxtacortical−0.199.180
    Central−0.228.123
    Periventricular−0.301.040
    • View popup
    Table 3:

    Pearson correlations: WMH versus age, diabetes, and hypertension (n = 47)

    WMH RegionAgeDiabetesHypertension
    Correlation CoefficientP ValueCorrelation CoefficientP ValueCorrelation CoefficientP Value
    Punctate lesionsJuxtacortical0.364.0120.129.3890.331.023
    Central0.54000.317.030.476.001
    Periventricular0.468.0010.324.0260.345.018
    Confluent lesionsJuxtacortical0.277.060.297.0420.274.062
    Central0.410.0040.185.2120.226.127
    Periventricular0.53600.226.1260.467.001
    No. of lesionsJuxtacortical0.205.1680.113.4510.289.049
    Central0.353.0150.269.0670.263.074
    Periventricular0.471.0010.232.1170.385.008
    • View popup
    Table 4:

    Correlation between readers (n = 47)

    WMH Regionκ ValueP Value
    Punctate lesionsJuxtacortical0.399<.001
    Central0.394<.001
    Periventricular0.215<.001
    Confluent lesionsJuxtacortical0.261<.001
    Central0.125.031
    Periventricular0.305<.001
    No. of lesionsJuxtacortical0.532<.001
    Central0.206.003
    Periventricular0.44<.001
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American Journal of Neuroradiology: 35 (6)
American Journal of Neuroradiology
Vol. 35, Issue 6
1 Jun 2014
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Cite this article
J.M. Prager, C. Thomas, W.J. Ankenbrandt, J.R. Meyer, Y. Gao, A. Ragin, S. Sidharthan, R. Hutten, Y.G. Wu
Association of White Matter Hyperintensities with Low Serum 25-Hydroxyvitamin D Levels
American Journal of Neuroradiology Jun 2014, 35 (6) 1145-1149; DOI: 10.3174/ajnr.A3840

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Association of White Matter Hyperintensities with Low Serum 25-Hydroxyvitamin D Levels
J.M. Prager, C. Thomas, W.J. Ankenbrandt, J.R. Meyer, Y. Gao, A. Ragin, S. Sidharthan, R. Hutten, Y.G. Wu
American Journal of Neuroradiology Jun 2014, 35 (6) 1145-1149; DOI: 10.3174/ajnr.A3840
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