Prevalência e estudo neuropsicológico de transtornos cognitivos e demências decorrentes de neuroinfecções em hospital de referência

• Autor(a) principal: REIMER, Cláudio Henrique Ribeiro
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/1842
• topic: Neuroinfecções; Transtornos cognitivos; Demências; Neuropsicologia; Neuropsiquiatria; Neuroinfections; Cognitive disorders; Dementias; Neuropsychology; Neuropsychiatry; CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::DOENCAS INFECCIOSAS E PARASITARIAS

Several infectious and parasitic diseases have been described as possible causes of cognitive loss, especially the neuroinfections that the location in the CNS, may evolve into frank dementia table (although subject to reversal). The vast possibilities as a result has large etiological heterogeneity of neuropsychiatric symptoms, which may hinder the clinical evaluation, but if using neuropsychological testing, it increases the chances of detection of cognitive and behavioral symptoms and therefore the diagnostic accuracy. The objective of the study is to estimate the prevalence of dementia and cognitive changes in neuroinfections, and characterize the co-morbid psychiatric symptoms. The sample comprised 60 patients with infection of the CNS in order to identify possible changes in performance in Mini-Mental State Examination (MMSE) and a questionnaire on activities of daily living for Pfeffer, and conduct behavioral assessment by questionnaire BEHAV - AD. By applying the MMSE and the Pfeffer questionnaire found that 20 patients (33.3% of the sample) had cognitive disorders without dementia and 23 patients were diagnosed as dementia, which is the framework neuropsychological most prevalent (38.3% of patients). If we include patients with cognitive disorders without dementia and those with dementia in one group, we obtain a total of 71.7% of the sample studied. In the psychiatric aspect, are part of apathy in 30% of cases and irritability in 43.4% of patients. Through this study, high prevalence of cognitive disorders (including dementia) between the tables of neuroinfecções, and psychiatric symptoms associated with rich, demonstrating the need for investigation of cognitive and behavioral aspects in patients with infections of the CNS.