Format

Send to

Choose Destination
Arq Neuropsiquiatr. 2017 Feb;75(2):117-121. doi: 10.1590/0004-282X20160187.

Stroke occurring in patients with cognitive impairment or dementia.

Author information

1
Université de Lille. INSERM U 1171, Troubles cognitifs dégénératifs et vasculaires. CHU de Lille, Service de Neurologie, Lille, France.

Abstract

Objective:

To determine how pre-stroke cognitive impairment can be detected, its mechanism, and influence on outcome and management.

Methods:

Literature search.

Results:

(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.

Conclusion:

Patients with cognitive impairment who develop a stroke have worse outcomes, but should be treated like others.

PMID:
28226082
DOI:
10.1590/0004-282X20160187
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online
Loading ...
Support Center