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Abstract

Analysis of Clinical Characteristics of Cognitive Impairment in Patients with Acute Hemorrhagic Stroke

Author(s): J. ZHOU, Z. Y. WANG1 , H. B. CHEN, R. HU, A. H. GUO, Z. Li, H. M. HUANG, Y. YANG, J. M. YU, J. X. HU AND X. P. PAN*
Department of Neurology, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, No. 602 Renmin Bei road, Guangzhou, Guangdong 510180, 1Department of Neurology, Dongguan MarinaBay Central Hospital, No. 154 Humen Avenue, Dongguan, Guangdong 523900, China

Correspondence Address:
Department of Neurology, Dongguan MarinaBay Central Hospital, No. 154 Humen Avenue, Dongguan, Guangdong 523900, China, E-mail: [email protected]

To study the clinical characteristics of cognitive impairment in patients with hemorrhagic stroke, Birmingham cognitive screen test, mini-mental state examination, Montreal cognitive assessment was used to evaluate the cognitive function of acute hemorrhagic stroke and the incidence and clinical characteristics of cognitive impairment was evaluated. Seventy acute hemorrhagic stroke patients were enrolled in the study and the abnormal rates of Birmingham cognitive screen test, mini-mental state examination and Montreal cognitive assessment were 81.42, 33.34 and 41.5 %, respectively. Birmingham cognitive screen test showed that patients with acute hypertensive intracerebral hemorrhage have cognitive impairment in many aspects, especially in language function, memory, attention, executive function, number and application ability and the damage rate was more than 30 %. Different degrees of cognitive impairment involving multiple cognitive domains could occur in the acute stage of hemorrhagic stroke, among which language ability, memory, execution and application ability were the most common. Compared to minimental state examination and Montreal cognitive assessment, Birmingham cognitive screen test has a higher detection rate of cognitive impairment after hypertensive hemorrhage and a more comprehensive evaluation of cognitive function.

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