Cognition in acute relapses: A psychometric evaluation and its correlation with event-related potential, P300 in

Muhtesem Gedizlioglu1, Asli Koskderelioglu2, Melike Vural3

  • 1Department of Neurology, Atakalp Private Heart Hospital, Izmir, Turkey.

Abstract

Insights

Cognitive impairment is common during multiple sclerosis (MS) relapses. This study found significant deficits in memory and visual-spatial skills, along with prolonged P300 event-related potentials during MS relapses.

Area of Science:

  • Neuroscience
  • Neurology
  • Cognitive Science

Background:

  • Multiple sclerosis (MS) relapses often present with physical symptoms, but cognitive impairment can also be a significant component.
  • Assessing cognitive status during acute MS relapses is crucial for comprehensive patient care.

Purpose of the Study:

  • To evaluate the cognitive status of patients with multiple sclerosis during acute relapses.
  • To investigate the impact of relapses on cognitive functions and event-related potentials.

Main Methods:

  • 35 definite MS patients and 21 healthy controls were enrolled.
  • Neuropsychometric tests and P300 event-related potentials were administered to MS patients before and after treatment, and to controls once.
  • Cognitive tests included Timed 25-Foot Walk, Brief Repeatable Battery subtests (10/36 SPART, SDMT, SRT, SRT-LTM).

Main Results:

  • Statistically significant differences were observed in cognitive test scores between relapse and remission phases in MS patients (p < 0.05).
  • P300 wave latencies were significantly prolonged during MS relapses compared to remission and control groups (p < 0.005).

Conclusions:

  • Acute MS relapses are associated with significant impairments in visual-spatial perception, remote memory, and recall.
  • Cognitive assessments during MS relapses are vital for accurate evaluation and guiding future treatment strategies.

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