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The Rationale for Monitoring Cognitive Function in Multiple Sclerosis: Practical Issues for Clinicians
Christos Bakirtzis1, Panagiotis Ioannidis1, Lambros Messinis2
1The Multiple Sclerosis Center, 2nd Department of Neurology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
The Open Neurology Journal
|July 17, 2018
Summary
Routine cognitive assessments for multiple sclerosis (MS) patients can improve quality of life by detecting disease activity, depression, or side effects early. This enables timely interventions and cognitive rehabilitation.
Area of Science:
- Neurology
- Neuropsychology
Background:
- Cognitive impairment affects approximately 50% of multiple sclerosis (MS) patients, significantly impacting their quality of life.
- Current clinical practice often undervalues the assessment of cognitive function in MS patients.
- Existing cognitive assessment tools are underutilized in routine follow-ups.
Purpose of the Study:
- To highlight the benefits of integrating cognitive assessment tools into routine MS patient care.
- To emphasize early detection of cognitive changes for disease monitoring and intervention.
- To propose a systematic approach for cognitive function evaluation in MS.
Main Methods:
- Review of potential benefits of cognitive assessment tools in MS follow-ups.
- Discussion on monitoring mental status in high-risk MS patients (e.g., those at risk for Progressive Multifocal Leukoencephalopathy).
- Proposal of an algorithm for systematic cognitive function evaluation in clinical practice.
Main Results:
- Early detection of cognitive changes can indicate disease activity.
- Cognitive assessments can help identify depression or medication side effects.
- Identifying patients for cognitive rehabilitation can be facilitated by regular assessments.
Conclusions:
- Implementing systematic cognitive assessments in routine MS care is beneficial.
- Regular monitoring aids in early detection of disease progression and treatment-related issues.
- A structured approach can optimize patient management and quality of life in MS.
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