细菌性脑后的认知和日常功能:从治疗后8周到1年的功能恢复的前性研究
Ane Gretesdatter Rogne1,2, Solrun Sigurdardottir3, Rune Raudeberg4
1Department, of Neurohabilitation and Complex Neurology, Oslo University Hospital, Oslo, Norway.
Brain injury
|April 27, 2024
概括
细菌性脑可以导致持久的认知缺陷和减少工作能力. 早期治疗和康复对于改善受影响患者的治疗结果至关重要.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 传染性疾病 传染性疾病
背景情况:
- 细菌性脑可以导致严重的神经损伤.
- 质量效应,炎症和毒素有助于大脑组织损伤.
研究的目的:
- 评估细菌性脑治疗后患者的认知和功能结果.
- 在急性治疗后8周和1年评估结果.
主要方法:
- 对20名细菌性脑患者 (17-73岁) 的前性研究.
- 神经心理评估包括BRIEF-A和PCRS在8周和1年.
- 通过患者和告知者报告评估日常功能.
主要成果:
- 认知障碍在8周后的30%和1年后的22%观察到.
- 在感知推理,注意力,口语流和运动技能的显著改善.
- 45%的人在一年内恢复全职工作,但日常运作指标没有显著改善.
结论:
- 22%的人经历了持续的认知障碍,45%的人在后一年的工作能力下降.
- 强调需要迅速进行急性治疗和认知康复.
- 尽管有一些认知恢复,但长期的功能缺陷仍然存在.
相关概念视频
Long-term Potentiation
Long-term potentiation, or LTP, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTP is the process of synaptic strengthening that occurs over time between pre- and postsynaptic neuronal connections. The synaptic strengthening of LTP works in opposition to the synaptic weakening of long-term depression (LTD) and together are the main mechanisms that underlie learning and memory.
Long-term Potentiation
Long-term potentiation, or LTP, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTP is the process of synaptic strengthening that occurs over time between pre and postsynaptic neuronal connections. The synaptic strengthening of LTP works in opposition to the synaptic weakening of long-term depression (LTD) and together are the main mechanisms that underlie learning and memory.
Hebbian LTP
LTP can occur when presynaptic neurons...
Hebbian LTP
LTP can occur when presynaptic neurons...
Classification of Illness
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Neurogenesis and Regeneration of Nervous Tissue
In the CNS, neurogenesis, the birth of new neurons from stem cells, is limited to the hippocampus in adults. In other regions of the brain and spinal cord, neurogenesis is almost non-existent due to inhibitory influences from neuroglia, especially oligodendrocytes, and the absence of growth-stimulating cues. The myelin produced by oligodendrocytes in the CNS inhibits neuronal regeneration. Furthermore, astrocytes proliferate rapidly after neuronal damage, forming scar tissue that physically...
Acute Kidney Injury III: Clinical Manifestations
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Gut-Brain Axis
The gut–brain axis is a bidirectional communication system that connects the gastrointestinal tract and the brain. This interaction is mediated through multiple pathways, including the vagus nerve, hormonal signals, immune responses, and chemical messengers produced by gut microbes.Microbial Contributions to Brain FunctionGut microbiota contributes significantly to brain function by producing neuroactive compounds. These include neuroactive compounds that influence neurotransmitters such as...


