Stroke occurring in patients with cognitive impairment or dementia.
Arq Neuropsiquiatr
; 75(2): 117-121, 2017 Feb.
Article
em En
| MEDLINE
| ID: mdl-28226082
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos Cognitivos
/
Acidente Vascular Cerebral
/
Demência
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Arq Neuropsiquiatr
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
França
País de publicação:
Alemanha