Neuropsychological performance in patients with subcortical stroke

Detalhes bibliográficos
Autor(a) principal: Andrade, Silviane Pinheiro Campos de [UNIFESP]
Data de Publicação: 2012
Outros Autores: Brucki, Sônia Maria Dozzi, Bueno, Orlando Francisco Amodeo [UNIFESP], Siqueira Neto, José Ibiapina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X2012005000012
http://repositorio.unifesp.br/handle/11600/7084
Resumo: Vascular cognitive impairment (VCI) is characterized by cognitive compromise predominantly of executive dysfunction. OBJECTIVES: To assess cognitive functions in VCI, focusing on executive functions, to observe functional losses in relation to activities of daily living (ADLs) and to detect early symptoms prior to the onset of dementia. METHODS: We evaluated healthy subjects matched for gender, education and age to patients with diagnosis of subcortical vascular disease who had a stroke classified into three groups: 1) vascular lesions and no impairment; 2) vascular cognitive impairment with no dementia (VCIND); 3) vascular dementia (VaD). RESULTS AND DISCUSSION: The performance on neuropsychological tests differed among groups, worsening with increased impairment level. The probable VaD group demonstrated impaired performance in memory, processing speed and verbal production, while the VCIND group showed attention deficits. CONCLUSION: Impairment in executive functions and difficulties in ADLs allow us to differentiate levels of impairment in groups of subcortical vascular disease.
id UFSP_5475915533dc0b6e8f2b75bda2509c57
oai_identifier_str oai:repositorio.unifesp.br/:11600/7084
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling Neuropsychological performance in patients with subcortical strokePerfil neuropsicológico em pacientes com lesões vasculares subcorticaiscognitive impairmentvascular dementianeuropsychological assessmentactivities of daily livingcomprometimento cognitivodemência vascularavaliação neuropsicológicaatividades cotidianasVascular cognitive impairment (VCI) is characterized by cognitive compromise predominantly of executive dysfunction. OBJECTIVES: To assess cognitive functions in VCI, focusing on executive functions, to observe functional losses in relation to activities of daily living (ADLs) and to detect early symptoms prior to the onset of dementia. METHODS: We evaluated healthy subjects matched for gender, education and age to patients with diagnosis of subcortical vascular disease who had a stroke classified into three groups: 1) vascular lesions and no impairment; 2) vascular cognitive impairment with no dementia (VCIND); 3) vascular dementia (VaD). RESULTS AND DISCUSSION: The performance on neuropsychological tests differed among groups, worsening with increased impairment level. The probable VaD group demonstrated impaired performance in memory, processing speed and verbal production, while the VCIND group showed attention deficits. CONCLUSION: Impairment in executive functions and difficulties in ADLs allow us to differentiate levels of impairment in groups of subcortical vascular disease.O comprometimento cognitivo vascular (CCV) é caracterizado por comprometimento cognitivo predominantemente sob a forma de disfunção executiva. OBJETIVOS: Avaliar as funções cognitivas no CCV, enfocando as funções executivas, observar as perdas funcionais em relação às atividades cotidianas (AVDs) e detectar os primeiros sintomas antes do início da demência. MÉTODOS: Foram avaliados indivíduos controles saudáveis pareados por sexo, escolaridade e idade com pacientes com diagnóstico de doença vascular subcortical que sofreram derrame classificados em três grupos: 1) lesões vasculares sem déficit; 2) comprometimento cognitivo vascular sem demência (CCVSD); 3) demência vascular (DV). RESULTADOS E DISCUSSÃO: O desempenho em testes neuropsicológicos diferiu entre os grupos, sendo o desempenho tanto pior quanto maior o comprometimento. O grupo DV provável demonstrou desempenho prejudicado na memória, velocidade de processamento e produção verbal, enquanto o grupo CCVSD apresentou déficit de atenção. CONCLUSÃO: Prejuízos nas funções executivas e dificuldades em AVDs permitem diferenciar os níveis de comprometimento nos grupos de doença vascular subcortical.Federal University of São PauloUNIFESPSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Andrade, Silviane Pinheiro Campos de [UNIFESP]Brucki, Sônia Maria DozziBueno, Orlando Francisco Amodeo [UNIFESP]Siqueira Neto, José Ibiapina2015-06-14T13:43:43Z2015-06-14T13:43:43Z2012-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion341-347application/pdfhttp://dx.doi.org/10.1590/S0004-282X2012005000012Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 70, n. 5, p. 341-347, 2012.10.1590/S0004-282X2012005000012S0004-282X2012000500007.pdf0004-282XS0004-282X2012000500007http://repositorio.unifesp.br/handle/11600/7084WOS:000304362100007engArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T00:43:39Zoai:repositorio.unifesp.br/:11600/7084Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T00:43:39Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Neuropsychological performance in patients with subcortical stroke
Perfil neuropsicológico em pacientes com lesões vasculares subcorticais
title Neuropsychological performance in patients with subcortical stroke
spellingShingle Neuropsychological performance in patients with subcortical stroke
Andrade, Silviane Pinheiro Campos de [UNIFESP]
cognitive impairment
vascular dementia
neuropsychological assessment
activities of daily living
comprometimento cognitivo
demência vascular
avaliação neuropsicológica
atividades cotidianas
title_short Neuropsychological performance in patients with subcortical stroke
title_full Neuropsychological performance in patients with subcortical stroke
title_fullStr Neuropsychological performance in patients with subcortical stroke
title_full_unstemmed Neuropsychological performance in patients with subcortical stroke
title_sort Neuropsychological performance in patients with subcortical stroke
author Andrade, Silviane Pinheiro Campos de [UNIFESP]
author_facet Andrade, Silviane Pinheiro Campos de [UNIFESP]
Brucki, Sônia Maria Dozzi
Bueno, Orlando Francisco Amodeo [UNIFESP]
Siqueira Neto, José Ibiapina
author_role author
author2 Brucki, Sônia Maria Dozzi
Bueno, Orlando Francisco Amodeo [UNIFESP]
Siqueira Neto, José Ibiapina
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Andrade, Silviane Pinheiro Campos de [UNIFESP]
Brucki, Sônia Maria Dozzi
Bueno, Orlando Francisco Amodeo [UNIFESP]
Siqueira Neto, José Ibiapina
dc.subject.por.fl_str_mv cognitive impairment
vascular dementia
neuropsychological assessment
activities of daily living
comprometimento cognitivo
demência vascular
avaliação neuropsicológica
atividades cotidianas
topic cognitive impairment
vascular dementia
neuropsychological assessment
activities of daily living
comprometimento cognitivo
demência vascular
avaliação neuropsicológica
atividades cotidianas
description Vascular cognitive impairment (VCI) is characterized by cognitive compromise predominantly of executive dysfunction. OBJECTIVES: To assess cognitive functions in VCI, focusing on executive functions, to observe functional losses in relation to activities of daily living (ADLs) and to detect early symptoms prior to the onset of dementia. METHODS: We evaluated healthy subjects matched for gender, education and age to patients with diagnosis of subcortical vascular disease who had a stroke classified into three groups: 1) vascular lesions and no impairment; 2) vascular cognitive impairment with no dementia (VCIND); 3) vascular dementia (VaD). RESULTS AND DISCUSSION: The performance on neuropsychological tests differed among groups, worsening with increased impairment level. The probable VaD group demonstrated impaired performance in memory, processing speed and verbal production, while the VCIND group showed attention deficits. CONCLUSION: Impairment in executive functions and difficulties in ADLs allow us to differentiate levels of impairment in groups of subcortical vascular disease.
publishDate 2012
dc.date.none.fl_str_mv 2012-05-01
2015-06-14T13:43:43Z
2015-06-14T13:43:43Z
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://dx.doi.org/10.1590/S0004-282X2012005000012
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 70, n. 5, p. 341-347, 2012.
10.1590/S0004-282X2012005000012
S0004-282X2012000500007.pdf
0004-282X
S0004-282X2012000500007
http://repositorio.unifesp.br/handle/11600/7084
WOS:000304362100007
url http://dx.doi.org/10.1590/S0004-282X2012005000012
http://repositorio.unifesp.br/handle/11600/7084
identifier_str_mv Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 70, n. 5, p. 341-347, 2012.
10.1590/S0004-282X2012005000012
S0004-282X2012000500007.pdf
0004-282X
S0004-282X2012000500007
WOS:000304362100007
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos de Neuro-Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 341-347
application/pdf
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268424370520064