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Published in: Neurological Sciences 5/2020

01-05-2020 | Stroke | Original Article

Neuropsychological assessment in acute stroke patients

Authors: Fabrizio Pasotti, Francesca G. Magnani, Marcello Gallucci, Gerardo Salvato, Daniela Ovadia, Massimiliano Scotto, Stefano Merolla, Sandro Beretta, Giuseppe R. Micieli, Elio C. Agostoni, Giovanna Beretta, Gabriella Bottini

Published in: Neurological Sciences | Issue 5/2020

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Abstract

Background and purpose

The number of people suffering from stroke is strongly increasing, giving rise to multiple cognitive deficits which frequently prevent a full recovery. The identification of both spared and impaired cognitive domains has a key role to plan adequate interventions. However, the existing standard tests are either too expensive in terms of time and efforts for patients in acute stage or they derived from instruments addressing different pathologies such as dementia.

Methods

We developed a brief neuropsychological battery (mental performance in acute stroke, MEPS) to assess different cognitive domains (language, memory, praxis, visual perception) in acute stroke patients. MEPS was validated by enrolling a sample of 204 patients suffering from stroke in acute stage, and 263 healthy controls participants.

Results

The results indicated an adequate construct validity and a high ability in discriminating patients from healthy controls.

Conclusions

MEPS can be considered a simple and highly valuable bedside battery, easy to administer, with values of sensitivity and specificity suitable to be proposed as a screening tool for patients with acute stroke.
Appendix
Available only for authorised users
Footnotes
1
A copy of the MEPS (Italian version) can be obtained by contacting the authors at: fabriziopasotti@gmail.com
 
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Metadata
Title
Neuropsychological assessment in acute stroke patients
Authors
Fabrizio Pasotti
Francesca G. Magnani
Marcello Gallucci
Gerardo Salvato
Daniela Ovadia
Massimiliano Scotto
Stefano Merolla
Sandro Beretta
Giuseppe R. Micieli
Elio C. Agostoni
Giovanna Beretta
Gabriella Bottini
Publication date
01-05-2020
Publisher
Springer International Publishing
Keywords
Stroke
Apraxia
Published in
Neurological Sciences / Issue 5/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-04236-0

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