Which factors are associated with global cognitive impairment in Wilson's disease?
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Dementia & Neuropsychologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400320 |
Resumo: | ABSTRACT Background: Patients with Wilson's disease (WD) present cognitive impairment, especially in executive functions. Which other factors might be associated with global cognitive decline in these patients remains unclear. Objective: To assess which factors are associated with worse performance on a global cognitive test in patients with WD. Methods: Twenty patients with WD underwent cognitive assessment with the following tests: the Mini-Mental State Examination (MMSE), Dementia Rating Scale (DRS), verbal fluency test, brief cognitive battery, clock drawing test, Frontal Assessment Battery, Stroop test, Wisconsin card sorting test, Hopper test, cubes (WAIS) and the Pfeffer questionnaire. MRI changes were quantified. Patients with poor performance on the DRS were compared to patients with normal performance. Results: Nine patients had a poor performance on the DRS. This group had lower educational level (9.11±3.58 × 12.82±3.06) and a greater number of changes on MRI (9.44±2.74 × 6.27±2.45). The presence of hyperintensity in the globus pallidus on MRI was more frequent in this group (66.6% vs 9.0%), with OR=5.38 (95% CI 0.85-33.86). Conclusion: Global cognitive impairment was prevalent in this sample of patients with WD and was associated with low educational level, number of changes on MRI and MRI hyperintensity in the globus pallidus. |
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Which factors are associated with global cognitive impairment in Wilson's disease?Wilson's diseasecognitive impairmentneuropsychological testsmagnetic resonance imagingglobus pallidusABSTRACT Background: Patients with Wilson's disease (WD) present cognitive impairment, especially in executive functions. Which other factors might be associated with global cognitive decline in these patients remains unclear. Objective: To assess which factors are associated with worse performance on a global cognitive test in patients with WD. Methods: Twenty patients with WD underwent cognitive assessment with the following tests: the Mini-Mental State Examination (MMSE), Dementia Rating Scale (DRS), verbal fluency test, brief cognitive battery, clock drawing test, Frontal Assessment Battery, Stroop test, Wisconsin card sorting test, Hopper test, cubes (WAIS) and the Pfeffer questionnaire. MRI changes were quantified. Patients with poor performance on the DRS were compared to patients with normal performance. Results: Nine patients had a poor performance on the DRS. This group had lower educational level (9.11±3.58 × 12.82±3.06) and a greater number of changes on MRI (9.44±2.74 × 6.27±2.45). The presence of hyperintensity in the globus pallidus on MRI was more frequent in this group (66.6% vs 9.0%), with OR=5.38 (95% CI 0.85-33.86). Conclusion: Global cognitive impairment was prevalent in this sample of patients with WD and was associated with low educational level, number of changes on MRI and MRI hyperintensity in the globus pallidus.Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento2016-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400320Dementia & Neuropsychologia v.10 n.4 2016reponame:Dementia & Neuropsychologiainstname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)instacron:ANCC10.1590/s1980-5764-2016dn1004011info:eu-repo/semantics/openAccessFrota,Norberto Anízio FerreiraBarbosa,Egberto ReisPorto,Claudia SellittoLucato,Leandro TavaresOno,Carla RachelBuchpiguel,Carlos AlbertoMachado,Alexandre Aluizio CostaCaramelli,Pauloeng2016-12-19T00:00:00Zoai:scielo:S1980-57642016000400320Revistahttp://www.demneuropsy.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||demneuropsy@uol.com.br1980-57641980-5764opendoar:2016-12-19T00:00Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)false |
dc.title.none.fl_str_mv |
Which factors are associated with global cognitive impairment in Wilson's disease? |
title |
Which factors are associated with global cognitive impairment in Wilson's disease? |
spellingShingle |
Which factors are associated with global cognitive impairment in Wilson's disease? Frota,Norberto Anízio Ferreira Wilson's disease cognitive impairment neuropsychological tests magnetic resonance imaging globus pallidus |
title_short |
Which factors are associated with global cognitive impairment in Wilson's disease? |
title_full |
Which factors are associated with global cognitive impairment in Wilson's disease? |
title_fullStr |
Which factors are associated with global cognitive impairment in Wilson's disease? |
title_full_unstemmed |
Which factors are associated with global cognitive impairment in Wilson's disease? |
title_sort |
Which factors are associated with global cognitive impairment in Wilson's disease? |
author |
Frota,Norberto Anízio Ferreira |
author_facet |
Frota,Norberto Anízio Ferreira Barbosa,Egberto Reis Porto,Claudia Sellitto Lucato,Leandro Tavares Ono,Carla Rachel Buchpiguel,Carlos Alberto Machado,Alexandre Aluizio Costa Caramelli,Paulo |
author_role |
author |
author2 |
Barbosa,Egberto Reis Porto,Claudia Sellitto Lucato,Leandro Tavares Ono,Carla Rachel Buchpiguel,Carlos Alberto Machado,Alexandre Aluizio Costa Caramelli,Paulo |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Frota,Norberto Anízio Ferreira Barbosa,Egberto Reis Porto,Claudia Sellitto Lucato,Leandro Tavares Ono,Carla Rachel Buchpiguel,Carlos Alberto Machado,Alexandre Aluizio Costa Caramelli,Paulo |
dc.subject.por.fl_str_mv |
Wilson's disease cognitive impairment neuropsychological tests magnetic resonance imaging globus pallidus |
topic |
Wilson's disease cognitive impairment neuropsychological tests magnetic resonance imaging globus pallidus |
description |
ABSTRACT Background: Patients with Wilson's disease (WD) present cognitive impairment, especially in executive functions. Which other factors might be associated with global cognitive decline in these patients remains unclear. Objective: To assess which factors are associated with worse performance on a global cognitive test in patients with WD. Methods: Twenty patients with WD underwent cognitive assessment with the following tests: the Mini-Mental State Examination (MMSE), Dementia Rating Scale (DRS), verbal fluency test, brief cognitive battery, clock drawing test, Frontal Assessment Battery, Stroop test, Wisconsin card sorting test, Hopper test, cubes (WAIS) and the Pfeffer questionnaire. MRI changes were quantified. Patients with poor performance on the DRS were compared to patients with normal performance. Results: Nine patients had a poor performance on the DRS. This group had lower educational level (9.11±3.58 × 12.82±3.06) and a greater number of changes on MRI (9.44±2.74 × 6.27±2.45). The presence of hyperintensity in the globus pallidus on MRI was more frequent in this group (66.6% vs 9.0%), with OR=5.38 (95% CI 0.85-33.86). Conclusion: Global cognitive impairment was prevalent in this sample of patients with WD and was associated with low educational level, number of changes on MRI and MRI hyperintensity in the globus pallidus. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400320 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400320 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1980-5764-2016dn1004011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
dc.source.none.fl_str_mv |
Dementia & Neuropsychologia v.10 n.4 2016 reponame:Dementia & Neuropsychologia instname:Associação de Neurologia Cognitiva e do Comportamento (ANCC) instacron:ANCC |
instname_str |
Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
instacron_str |
ANCC |
institution |
ANCC |
reponame_str |
Dementia & Neuropsychologia |
collection |
Dementia & Neuropsychologia |
repository.name.fl_str_mv |
Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
repository.mail.fl_str_mv |
||demneuropsy@uol.com.br |
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1754212931437854720 |