Montreal Cognitive Assessment of cognitive dysfunction after basal ganglia stroke

Abstract

Objective The Montreal Cognitive Assessment (MoCA) was used to evaluate cognitive dysfunction after basal ganglia stroke, and factors affecting total MoCA score were examined. Methods Data were retrospectively analyzed for 30 patients with basal ganglia intracerebral hemorrhage or basal ganglia cerebral infarction, who were admitted to The Second Affiliated Hospital of Fujian Traditional Medical University (Fujian, China) from January 2017 to March 2020. Cognitive impairment was assessed using the MoCA, and potential correlations were explored between clinicodemographic characteristics (sex, age, stroke location and etiology) and MoCA dimensions or total MoCA score. Results Univariate linear regression showed that the total MoCA score was significantly associated with sex, age, executive function, naming, attention, abstract generalization ability, memory ability, and visuospatial orientation. However, multivariate linear regression identified only executive function, naming, attention, memory ability, and visuospatial orientation as significantly associated with the total MoCA score. Conclusions We showed that the MoCA test can be used for patients with basal ganglia stroke. The total MoCA score of basal ganglia stroke was significantly associated with impairments in executive function, naming, attention, memory ability, and visuospatial orientation.

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“…12 The MoCa has been widely used to assess cognitive impairment among populations. [13][14][15] The MoCa-Ina assesses diverse cognitive domains, namely: attention and concentration, executive functions, language, memory, conceptual thinking, calculations, visuoconstructional skills and orientation. The maximum score of MoCA-Ina is 30 points, and the main categories are divided into two groups, namely normal (score: ≥26 points) and cognitive impairment (score: <26).…”