Impact of spontaneous intracerebral hemorrhage on cognitive functioning: An update

M Planton1, N Raposo1, L Danet1

  • 1Department of Neurology, Toulouse University Hospital, place Dr-Baylac, pavillon Baudot, 31024 Toulouse cedex 3, France; Toulouse NeuroImaging Centre, université de Toulouse, Inserm, UPS, 31000 Toulouse, France.

Revue Neurologique
|August 26, 2017
PubMed

Insights

Intracerebral hemorrhage (ICH) survivors face high risks of cognitive disorders and dementia. Understanding ICH

Area of Science:

  • Neurology
  • Neuroscience
  • Stroke Research

Background:

  • Intracerebral hemorrhage (ICH) causes 15% of strokes and 50% of stroke mortality.
  • ICH survivors have a high risk of negative outcomes, including cognitive impairment and dementia.
  • Existing research on stroke-related cognitive decline primarily focuses on ischemic stroke, leaving ICH understudied.

Purpose of the Study:

  • To highlight the significant link between intracerebral hemorrhage (ICH) and cognitive impairment.
  • To emphasize the under-researched area of vascular cognitive impairment following ICH.
  • To underscore the relationship between ICH, dementia, and lesion location's impact on cognitive function.

Main Methods:

  • Review of existing literature on intracerebral hemorrhage and cognitive outcomes.
  • Analysis of the impact of lesion location on neuropsychological profiles after ICH.
  • Examination of the pathophysiology of ICH and its correlation with specific cognitive dysfunctions.

Main Results:

  • ICH is strongly associated with increased risk of dementia and cognitive disorders.
  • Specific cognitive domains affected include language, memory, executive function, processing speed, and gnosis.
  • Lesion location significantly influences the neuropsychological deficits observed post-ICH.

Conclusions:

  • Intracerebral hemorrhage is a critical risk factor for vascular cognitive impairment and dementia.
  • Further research is needed to understand the specific cognitive patterns and long-term outcomes following ICH.
  • Targeted interventions and studies focusing on ICH survivors are essential for improving patient outcomes.