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Association between myasthenia gravis and cognitive function: A systematic review and meta-analysis
Zhifeng Mao1, Junjie Yin1, Zhengqi Lu1
1Department of Neurology, Multiple Sclerosis Center, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Myasthenia gravis (MG) patients often experience cognitive deficits, particularly in verbal learning and memory. While attention and visual memory appear preserved, overall cognitive function is impaired in MG.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Myasthenia gravis (MG) is increasingly associated with cognitive dysfunction, suggesting potential central nervous system (CNS) involvement.
- Existing research indicates cognitive impairments in both human patients and animal models of MG.
Purpose of the Study:
- To systematically review and synthesize findings on the relationship between myasthenia gravis and cognitive function.
- To identify specific cognitive domains affected in individuals with MG.
Main Methods:
- A systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Searched major databases for neuropsychological studies involving adult MG patients.
- Pooled weighted effect sizes across eight identified cognitive domains.
Main Results:
- Eight studies involving 300 subjects were analyzed.
- Significant moderate effect sizes were observed in nine cognitive tasks, including MMSE, language, processing speed, verbal learning/memory (excluding delayed recall), and motor performance.
- Verbal learning and memory emerged as the most significantly affected domain, while attention, response fluency, and visual learning/memory appeared relatively preserved.
Conclusions:
- MG patients demonstrate significant cognitive impairments compared to controls across various domains.
- Verbal logical-delayed memory, finger tapping, and the Symbol Digit Modalities Test showed the strongest associations with cognitive function in MG.
- Findings highlight the impact of MG on cognitive abilities, though heterogeneity in studies necessitates cautious interpretation.
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