在患有深脑静脉血栓症的患者中,临床放射学特征和长期认知和功能结果
Ameya Patwardhan1, Manisha Gupta1, Mariamma Philip2
1Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Annals of Indian Academy of Neurology
|March 18, 2024
概括
深脑静脉血栓症 (DCVT) 幸存者可能会经历长期的认知问题. 这项研究适应了康纳达语说者的认知查工具,在40%以上的患者中发现了显著的认知功能障碍.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 深脑静脉栓塞 (DCVT) 可以导致持久的功能和认知障碍.
- 与动脉中风相比,脑静脉血栓症 (CVT) 后的认知后果是不太了解的.
研究的目的:
- 为了研究DCVT幸存者的长期认知后果.
- 适应和验证康纳达语言的认知查工具,用于DCVT患者.
- 评估DCVT幸存者的抑郁和功能状态.
主要方法:
- 追溯审查29个DCVT患者记录.
- 纳达语的认知状态 (TICS-M) 修改电话采访的适应和电话应用.
- 抑郁症 (PHQ-9 汉语) 和功能状态 (mRS) 的电话查.
主要成果:
- 在DCVT中,急性并发症的死亡率为10.34%.
- 在使用TICS-M (Kannada版本) 的42.10%患者中发现认知障碍.
- 16.66%的患者表现出抑郁症的迹象;所有幸存者实现了良好的功能状态 (mRS 0-1).
结论:
- 急性DCVT的幸存者有长期认知缺陷的风险.
- 通过电话管理,本地适应的查工具是有效的评估认知功能,抑郁症和功能状态.
- 对于发现的缺陷,建议早期进行神经心理评估和认知康复.
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