Cognitive screen and employment long-term after infratentorial stroke.
cognition
employment
infratentoral stroke
outcomes assessment
Journal
Acta neurologica Scandinavica
ISSN: 1600-0404
Titre abrégé: Acta Neurol Scand
Pays: Denmark
ID NLM: 0370336
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
revised:
18
01
2022
received:
08
11
2021
accepted:
24
01
2022
pubmed:
10
2
2022
medline:
6
4
2022
entrez:
9
2
2022
Statut:
ppublish
Résumé
Motor problems are well-described neurological deficits that occur commonly after an infratentorial ischemic stroke. However, the brain stem and cerebellum are also part of the neural interconnections responsible for cognition, emotions, and behavioral responses. We lack studies on long-term cognitive outcomes and patient employment after an infratentorial stroke. In the present study, we described and compared long-term poststroke cognitive outcomes and employment between patients that experienced infratentorial and supratentorial ischemic strokes. We included consecutive patients that experienced an acute ischemic stroke at ≤58 years of age. Patients were classified according to the stroke location. At seven years poststroke, surviving participants were assessed for neurological deficits (National Institutes of Health Stroke Scale [NIHSS]), functional outcome (modified Rankin Scale [mRS]), cognitive function Barrow Neurological Institute Screen (BNIS), and employment. Among 141 participants, 25 (18%) had infratentorial and 116 (82%) had supratentorial strokes. At the 7-year poststroke follow-up, there was no significant difference in BNIS total scores; with a median of 43 (IQR 40.5-46) and 41 (IQR 38-46) in the infratentorial and supratentorial groups, respectively. This result indicated that cognitive dysfunction occurred frequently in both groups. Similar employment rates were observed in the infratentorial (48%) and supratentorial (55%) groups. Both groups had a median NIHSS score of 0 and a median mRS score of 2 at the 7-year follow-up. Patients who survived an infratentorial or supratentorial ischemic stroke had similar rates of long-term cognitive dysfunction and difficulties in returning and/or remaining at work.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
610-618Subventions
Organisme : Swedish Research Council
ID : 2021-01114
Organisme : ALF agreement GBGALF
ID : 71980
Organisme : ALF agreement GBGALF
ID : 720111
Organisme : ALF agreement GBGALF
ID : 965328
Organisme : Swedish Heart and Lung Foundation
ID : 20190203
Informations de copyright
© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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