Title |
Stroke occurring in patients with cognitive impairment or dementia
|
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Published in |
Arquivos de Neuro-Psiquiatria, February 2017
|
DOI | 10.1590/0004-282x20160187 |
Pubmed ID | |
Authors |
Solène Moulin, Didier Leys |
Abstract |
To determine how pre-stroke cognitive impairment can be detected, its mechanism, and influence on outcome and management. Literature search. (i) A systematic approach with the Informant Questionnaire of Cognitive Decline in the Elderly is recommended; (ii) Pre-stroke cognitive impairment may be due to brain lesions of vascular, degenerative, or mixed origin; (iii) Patients with pre-stroke dementia, have worse outcomes, more seizures, delirium, and depression, and higher mortality rates; they often need to be institutionalised after their stroke; (iv) Although the safety profile of treatment is not as good as that of cognitively normal patients, the risk:benefit ratio is in favour of treating these patients like others. Patients with cognitive impairment who develop a stroke have worse outcomes, but should be treated like others. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 70 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 13 | 19% |
Student > Postgraduate | 10 | 14% |
Other | 6 | 9% |
Student > Master | 5 | 7% |
Researcher | 4 | 6% |
Other | 11 | 16% |
Unknown | 21 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 25 | 36% |
Psychology | 6 | 9% |
Nursing and Health Professions | 5 | 7% |
Neuroscience | 4 | 6% |
Social Sciences | 2 | 3% |
Other | 3 | 4% |
Unknown | 25 | 36% |