Domain-specific cognitive recovery after first-ever stroke: a follow-up study of 111 cases
| Autor: | P.L.M. de Kort, G.M.S. Nys, E.H.F. (Edward) de Haan, H. B. van der Worp, L.J. Kappelle, B.P.W. Jansen, M.J.E. van Zandvoort |
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| Přispěvatelé: | Afd Psychologische functieleer |
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Neuropsychological Tests Lesion Cognition Visual memory Memory Risk Factors Internal medicine Diabetes mellitus medicine Humans Effects of sleep deprivation on cognitive performance Vascular Diseases Aged Language General Neuroscience Cognitive disorder Neuropsychology Stroke Rehabilitation Middle Aged medicine.disease Prognosis Stroke Psychiatry and Mental health Clinical Psychology Physical therapy Visual Perception Female Neurology (clinical) medicine.symptom Occipital lobe Psychology Psychomotor Performance |
| Zdroj: | Journal of the International Neuropsychological Society : JINS. 11(7) |
| ISSN: | 1355-6177 |
| Popis: | The objective of this study is to examine the prognosis of acute cognitive disorders post-stroke, and to evaluate which clinical factors predict domain-specific cognitive recovery. We followed the course of cognitive functioning in 111 stroke patients and 77 healthy controls by administering two neuropsychological examinations with a 6 to 10 month interval (mean interval, 7.5 +/- 1.3 months). The baseline examination was administered within three weeks post-stroke (mean interval, 7.9 +/- 4.2 days). To examine determinants of domain-specific cognitive recovery, we recorded vascular risk factors, clinical variables, and lesion characteristics. Recovery in visual perception/construction (83%) and visual memory (78%) was the most common. An acute cognitive disorder predicted a long-term disorder in the same domain (all p < .05), except for visual perception/construction. Factors associated with poor cognitive recovery were age (all p < .01), preexistent verbal ability (all p < .005), lesion locations involving the temporal (all p < .05), frontal (p < .05) and occipital lobe (allp < .05), lesion volume (p < or = .001), and diabetes mellitus (p < .01). An early neuropsychological examination provides valuable information on long-term cognitive performance. The prognosis of higher-level visual disorders is the most favorable. Cognitive recovery is associated with age, preexistent ability, lesion volume, lesion location, and diabetes mellitus. |
| Databáze: | OpenAIRE |
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