Saratov JOURNAL of Medical and Scientific Research

Influence of neuropsychological features of patients with acute ischemic stroke on the functional prognosis

Year: 2021, volume 17 Issue: №1 Pages: 142-148
Heading: Тhematic supplement Article type: Original article
Authors: Repina L.A., Romanova T.V., Poverennova I.E., Persteneva N.P.
Organization: Samara State Economic University, Samara State Medical University

The aim is to identify the relationship between the neuropsychological state of the patient and the recovery of his motor deficits due to acute cerebrovascular accident. Material and Methods. The study involved 103 patients with ischemic stroke in the basins of the middle and anterior cerebral arteries. We gave a clinical and neurological assessment of the patient's condition, and conducted neuropsychological testing: Beck Hopelessness Inventory (BHI), the Montreal Cognitive Assessment (MoCA), SF-36, and the Visual-Analog Scale (VAS). The examination was carried out three times: in the acute period of cerebral circulatory disorders, after 2 weeks and 24-36 months. After a long follow-up, all patients were divided into groups: with a favorable and unfavorable outcome. We analyzed which values of these scales are most typical for the selected groups. Results. The indicators of general physical health from the SF-36 (p=0.007), the results of the BHI (p=0.003 and 0.002), and of the VAS (p=0.025) collected after acute ischemic stroke were prognostically significant. For both groups, the most important indicators for the prognosis of the disease were MoCA (p=0.038), BHI (p=0.009), SF-36 (OFZ) (p=0.002), regardless of the period of stroke. Conclusion. The connection between the neuropsychological state of the patient and the restoration of his motor function after stroke was revealed. The considered questionnaires can be included in the multivariate forecast model of the prognosis of stroke as one of the criteria for the outcome of the disease.

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