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Neurological Sciences

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01-08-2018 | Original Article

Cognitive syndromes after the first stroke

Authors: Denisa Salihović, Dževdet Smajlović, Milija Mijajlović, Emina Zoletić, Omer Ć. Ibrahimagić

Published in: Neurological Sciences | Issue 8/2018

Abstract

Aim

The aim of this study is to determine impairments of certain cognitive functions in certain vascular cognitive syndromes and to identify predictors of dementia.

Patients and methods

One-year prospective study included 275 patients, who were hospitalized at the Department of Neurology Tuzla and therefore fulfilled certain criteria. Patients were divided into following subgroups of vascular cognitive impairment (VCI): dementia of strategic infarct (DSI), cortical dementia (CD), sub cortical dementia (SCD), hemorrhagic dementia (HD), and patients without dementia. Each of the patients underwent the clinical examination and scoring with appropriate measurement scales.

Results

Some of the types of VCI were verified in 190 (69%) patients, and the most common was SCD (58%). There was statistically significant connection between the level of intelligence and occurrence of VCI in patients after stroke (p < 0.001). We found significant connection between occurrence of dementia and impairment in narrative memory, numerical memory, visual perceptive, and visual constructive functions in patients with dementia compared with non-demented (p = 0.0001). The executive functions were statistically impaired in patients with CD (p = 0.004) and SCD (p < 0.001). Patients without dementia have significantly better quality of life than the demented ones (p < 0.0001). The algorithm “tree of decision” can help us in the prediction of dementia based on the impairment of certain cognitive functions.

Conclusion

Vascular cognitive syndromes are common after stroke. Some of the cognitive functions are significantly impaired in patients with dementia. Impairment of the certain cognitive functions can help in predicting the onset of dementia. Patients without dementia have better quality of life.

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Title: Cognitive syndromes after the first stroke
Authors: Denisa Salihović
Dževdet Smajlović
Milija Mijajlović
Emina Zoletić
Omer Ć. Ibrahimagić
Publication date: 01-08-2018
Publisher: Springer Milan
Published in: Neurological Sciences / Issue 8/2018
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-018-3447-6

At a glance: The STEP trials

Springer Medicine

Cognitive syndromes after the first stroke

Abstract

Aim

Patients and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Aim

Patients and methods

Results

Conclusion

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