Neuroimaging Indices Of Vascular Cognitive Impairment After Stroke In a Sample Of Egyptian Patients

Abstract

Background:The second prevalent cause of death globally is cerebrovascular stroke. It's responsible for a great extent of disabilities than any other condition. A large share of this disability is related to poststroke neurocognitive impairment. Aim of the study: This study aimed to assess neuroimaging indices related to cognitive dysfunction in a sample of Egyptian stroke patients. Patients and Methods: This study included 70 patients diagnosed with ischemic or hemorrhagic stroke after 3 months from the onset. Cognitive functions were assessed using the Montreal Cognitive Assessment test (MoCA). Results: This study included 70 stroke patients. They comprised 29 men and 41 women with an age of 52.9 ± 10.4 years. According to MoCA score, cognitive impairment was detected in 22 patients (31.4 %) while the remainder 48 patients had normal cognitive function. Patients with cognitive impairment are significantly older (59.6 ± 6.2 versus 4 9.9 ± 10.6 years; p<0.001) and have significantly higher frequency of atherosclerotic disease (64 % versus 36 %, p<0.001). It was found that patients with cognitive impairment show significantly higher frequency of left hemisphere strokes (68 % versus 42 %; p=0.039), both cortical and deep strokes (59 % versus 18 % and 23 %; p=0.042). It was also demonstrated that patients with cognitive impairment had significantly larger stroke lesions when compared with patients with normal cognition (12.8 ± 1.9 versus 3.9 ± 0.9 cm; p<0.001). Conclusion:Cognitive impairment is prevalent in stroke patients. Risk factors included older age, left hemispheres strokes, cortical strokes and larger stroke lesions.

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

“…Furthermore, Osama et al [24] concluded that hypertension was the primary risk factor for cardiovascular disease in Egypt. These findings are also supported by a study by Essmat et al [25] , which found that the incidence of stroke increases with age and that risk factors for stroke include older age, hyperlipidemia, diabetes mellitus, and hypertension. In terms of residence, the study found that over two-thirds of patients in both groups were from rural areas.…”

Factors associated with cognitive impairment at 3, 6, and 12 months after the first stroke among Lebanese survivors

“…To the best of our knowledge, this is the first study of its kind in Compared to different eastern and western countries, PSCI rate at acute phase in Lebanon is one of the highest rates, similar to the rates in Shanghai, China (88.1%) (Li et al, 2020), and South Korea (69.8%) (Yu et al, 2013), but greater than the rates obtained in USA, France, Britain, Australia, Sweden, India, Norway, Singapore, Nigeria, and Egypt that range between 20% and 50% (Akinyemi et al, 2014;Essmat et al, 2021;Sun et al, 2014). This variability might be explained by the difference in countries, race, and the used diagnostic criteria, in addition to different factors reported in the present study.…”