Reduced N-acetylaspartate is consistent with axonal dysfunction in cerebral small vessel disease.

Nitkunan, Arani; Charlton, Rebecca A; Barrick, Thomas R; McIntyre, Dominick J O; Howe, Franklyn A; and Markus, Hugh S. 2009. Reduced N-acetylaspartate is consistent with axonal dysfunction in cerebral small vessel disease. NMR in biomedicine, 22(3), pp. 285-91. ISSN 0952-3480 [Article]
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The most consistent change in SVD is a reduction in NAA, a marker of neuronal integrity. The lack of correlation with cognition does not support the use of MRS as a surrogate disease marker.

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