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Identifying patterns of cognitive deficits: the path to better outcomes after stroke
Journal of Neurology, Neurosurgery, and Psychiatry ( IF 8.7 ) Pub Date : 2020-05-01 , DOI: 10.1136/jnnp-2019-322429
Stephanie Clarke

The seminal paper by Tatemichi and colleagues1 sets a cornerstone for the diagnosis of poststroke cognitive impairment. The authors documented the diversity of stroke-related cognitive deficits that were present 3 months after an ischaemic stroke. They used an extended neuropsychological battery, covering memory, orientation, language, visuospatial skills, abstract reasoning and attention and compared the performance of 227 patients with that of 240 control subjects. Cognitive impairment, defined as deficient performance in more than three domains, was found in 35.2% of stroke patients (vs in 3.8% of control subject) and involved mostly memory, orientation, language and attention. These deficits impacted on the ability to live independently. Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities Authors : T K Tatemichi Year published : 1994 Number of times cited : 972 Establishing the patterns of cognitive impairment after stroke was grounding for three lines of research. First, a series of studies documented the contribution of poststroke cognitive impairment to dementia.2 Second, the introduction of endovascular treatment improved the functional outcome of stroke patients, including the severity of cognitive syndromes.3 Third, innovative approaches in cognitive rehabilitation were shown to improve recovery during the postacute stage of stroke.4 The challenge which we face today is how to prevent the decline in dementia and how to …

中文翻译:

识别认知缺陷的模式:卒中后获得更好结果的途径

Tatemichi及其同事发表的开创性论文为中风后认知障碍的诊断奠定了基础。作者记录了缺血性中风后三个月出现的与中风相关的认知缺陷的多样性。他们使用了扩展的神经心理学方法,涵盖记忆,方向,语言,视觉空间技能,抽象推理和注意力,并将227例患者的表现与240例对照对象的表现进行了比较。在35.2%的中风患者中发现认知障碍,定义为在三个以上领域的表现不足(对于对照组为3.8%),其中认知障碍主要涉及记忆,方向,语言和注意力。这些不足影响了独立生活的能力。中风后的认知障碍:频率,模式及其与功能能力的关系 TK Tatemichi出版年:1994被引用次数:972建立中风后认知障碍的模式是三项研究的基础。首先,一系列研究记录了中风后认知障碍对痴呆的贡献。2,第二次采用血管内治疗改善了中风患者的功能结局,包括认知综合征的严重程度。3第三,显示了创新的认知康复方法改善中风后急性期的恢复。4我们今天面临的挑战是如何预防痴呆症的减少以及如何……
更新日期:2020-05-01
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