经过多次认知评估,ALS患者的功能随着时间的推移稳定
Linn Öijerstedt1,2, Juliette Foucher3,4, Anikó Lovik5,6
1Department of Clinical Neuroscience, Karolinska Insitutet, 171 77, Stockholm, Sweden. linn.oijerstedt@ki.se.
Journal of neurology
|June 9, 2024
概括
认知障碍在诊断时影响了38%的肌缩侧面硬化症 (ALS) 患者,与更快的运动衰退和更短的生存时间相关. 然而,在诊断后两年内,认知功能保持稳定.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 认知科学 认知科学
背景情况:
- 肌缩侧面硬化症 (ALS) 是一种复杂的多系统性疾病.
- 除了运动症状之外,ALS还表现出额外的运动特征,特别是认知障碍.
- 常见的认知缺陷包括执行功能,语言和社会认知挑战.
研究的目的:
- 在诊断ALS时评估认知障碍.
- 调查认知障碍与生存之间的关联.
- 为了探索ALS患者的认知功能随时间变化的纵向变化.
主要方法:
- 在卡罗林斯卡大学医院招募了216名患者.
- 每6个月进行307次后续访问.
- 使用爱丁堡认知和行为ALS屏幕 (ECAS) 和蒙特利尔认知评估 (MoCA) 进行认知评估.
主要成果:
- 38%的ALS患者在诊断时表现出认知障碍,主要影响执行功能和语言.
- 诊断时的认知障碍预测了12个月和18个月后ALSFRS-R的更快下降.
- 认知障碍患者的生存率降低.
- 认知功能在前两年保持稳定,独立于运动功能的下降.
结论:
- 在ALS中认知障碍与加速的运动功能下降和较差的生存结果有关.
- 在ALS患者的认知功能在诊断后的最初两年表现出稳定.
- 整合认知评估对于全面了解和管理ALS表型至关重要.
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