Perceptual differences between stroke patients with cerebral infarction and intracerebral hemorrhage

Su, Chwen-Yng; Chang, Jyh-Jong; Su, Chin-Jung; Chien, Tsui-Hsien; Huang, Mao-Hsiung

doi:10.1016/s0003-9993(00)90097-2

Cited by 20 publications

(2 citation statements)

References 44 publications

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“…This is in line with previous studies performed at later stages after stroke [41, 42]. Of the patients with haemorrhagic stroke, 80% had a cognitive deficit in ≥2 domains, whereas isolated cognitive deficits did not occur in this patient group.…”

Section: Discussionsupporting

confidence: 92%

Cognitive Disorders in Acute Stroke: Prevalence and Clinical Determinants

et al. 2007

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Background: Although cognitive impairment early after stroke is a powerful predictor of long-term functional dependence and dementia, little is known about the characteristics and determinants of cognitive dysfunction in acute stroke. Methods: We administered a neuropsychological examination covering 7 cognitive domains to 190 patients within 3 weeks after a first stroke. We also assembled lesion characteristics, clinical factors at admission, demographic characteristics and vascular risk factors. Multivariate logistic regression adjusted for age, gender and education was performed to examine determinants of acute cognitive impairment. Results:Overall, 74% of patients with a cortical stroke, 46% with a subcortical stroke and 43% with an infratentorial stroke demonstrated acute cognitive impairment.Disorders in executive functioning (39%) and visual perception/construction (38%) were the most common. The prevalence and severity of deficits in executive functioning, language, verbal memory and abstract reasoning was more pronounced following left compared to right cortical stroke (all p < 0.05). Intracerebral haemorrhage (OR = 5.6; 95% CI = 1.2–25.4) and cortical involvement of the stroke (OR = 3.6; 95%, CI = 1.3–9.9) were independent determinants of acute cognitive impairment, whereas premorbid moderate alcohol consumption exerted a protective effect (OR = 0.4; 95% CI = 0.1–1.1). Conclusions:Cognitive impairment is common in the first weeks after stroke, with executive and perceptual disorders being the most frequent. Intracerebral haemorrhage, cortical involvement of the lesion and premorbid moderate alcohol consumption are independently associated with acute cognitive impairment.

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Section: Discussionsupporting

confidence: 92%

Cognitive Disorders in Acute Stroke: Prevalence and Clinical Determinants

et al. 2007

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“…However, neuropsychological profiles that occur in vascular dementia are heterogeneous and depend on the number, side, and location(s) of the lesion(s). Lastly, the cognitive outcome of acute and chronic stroke depends also on the etiology, where hemorrhagic strokes could result in greater impairment [ 3 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Multisensory Technology in Post-Stroke Cognitive Rehabilitation: A Systematic Review

Parisi

Bellinzona

Lernia

et al. 2022

JCM

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Post-stroke, in addition to sensorimotor signs and symptoms, could lead to cognitive deficits. Theories of embodiment stress the role of sensorimotor system and multisensory integration in sustaining high-order cognitive domains. Despite conventional post-stroke cognitive rehabilitation being effective, innovative technologies could overcome some limitations of standard interventions and exploit bodily information during cognitive rehabilitation. This systematic review aims to investigate whether ‘multisensory technologies’ compared to usual care treatment can be a viable alternative for cognitive rehabilitation. By applying PRISMA guidelines, we extracted data and assessed the bias of 10 studies that met the required criteria. We found that multisensory technologies were at least comparable to standard treatment but particularly effective for attention, spatial cognition, global cognition, and memory. Multisensory technologies consisted principally of virtual reality alone or combined with a motion tracking system. Multisensory technologies without motion tracking were more effective than standard procedures, whereas those with motion tracking showed balanced results for the two treatments. Limitations of the included studies regarded the population (e.g., no study on acute stroke), assessment (e.g., lack of multimodal/multisensory pre-post evaluation), and methodology (e.g., sample size, blinding bias). Recent advancements in technological development and metaverse open new opportunities to design embodied rehabilitative programs.

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Cognitive Dysfunction After Intracerebral Hemorrhage, Vasculitis, and Other Stroke Syndromes

Smith

Venegas-Torres

2013

The Behavioral Consequences of Stroke

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Perceptual differences between stroke patients with cerebral infarction and intracerebral hemorrhage

Cited by 20 publications

References 44 publications

Cognitive Disorders in Acute Stroke: Prevalence and Clinical Determinants

Cognitive Disorders in Acute Stroke: Prevalence and Clinical Determinants

Efficacy of Multisensory Technology in Post-Stroke Cognitive Rehabilitation: A Systematic Review

Cognitive Dysfunction After Intracerebral Hemorrhage, Vasculitis, and Other Stroke Syndromes

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