Neuropsychological performance in patients with subcortical stroke
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
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. |
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Repositório Institucional da UNIFESP |
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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 |