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Satoshi Orimo
It is important to differentiate dementia with Lewy bodies (DLB) and other dementia, especially Alzheimer disease (AD), because the medical treatment, management, and the prognosis of these diseases are different. In regard to clinical features, DLB patients have relatively mild memory disturbance, fluctuating cognition, more severe disturbances of attention, executive function, visuospacial function, visual hallucination, depression, autonomic symptoms, REM sleep behavior disorder, and idiopathic parkinsonism compared to AD patients...
March 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
Qi Wang, Ming Zhang, Dian Huang, Yu Zhou, Tong Qiao
OBJECTIVE: To investigate the theraputic effects of carotid endarterectomy (CEA) on cognitive function in patients with carotid stenosis (CAS) and congnitive impairment. METHODS: CEA was performed on 38 patients with CAS from December 2011 to July 2013. There were 26 male and 12 female patients, with an average age of (70 ± 7) years. Patients was underwent neuropsychological examinations (NPEs) including Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) at 1 week before and 6 weeks after treatment...
August 2014: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Seyed Ghafur Mousavi, Ghasemi Mohsen, Maracy M Reza, Ebrahimi Amrollah, Barekatain Majid, Noori Fariba
BACKGROUND: Electroconvulsive therapy (ECT) is one of the most efficacious treatment for major depressive disorder (MDD), it is also used as a rapid and efficacious treatment for other psychiatric disorders, especially treatment resistant ones. The cognitive impairment is one of the most important side effects of ECT. This study examined the Memoral herbal efficacy in prevention of ECT-induced memory impairment. METHODS: In a randomized clinical trial, 70 patients with mood disorders who were candidates for ECT enrolled in either Memoral or Control group, and received either Memoral or placebo...
July 2012: International Journal of Preventive Medicine
Diana Duro, Mário R Simões, Emanuel Ponciano, Isabel Santana
The Montreal Cognitive Assessment (MoCA) is a cognitive screening instrument created with the purpose of overcoming some of the insufficiencies of the Mini-Mental State Examination (MMSE). The MoCA evaluates more cognitive areas and is comprised of more complex tasks as compared with the MMSE, which makes it a more sensitive instrument in the detection of Mild Cognitive Impairment (MCI), a state that often progresses to dementia. In this study we performed an analysis of the psychometric and diagnostic properties of the Portuguese experimental version of the MoCA in a clinical sample of 212 subjects with MCI and several dementia subtypes in a memory clinic setting...
May 2010: Journal of Neurology
Kazuyuki Ohara, Yoshio Morita
We report a case of probable dementia with Lewy bodies (DLB), showing reduplicative paramnesia (RP) and Capgras syndrome (CS). The patient, a right-handed 60 year-old male, began to show progressive dementia. At the age of 65, he showed fluctuating cognitive impairment and recurrent visual hallucinations. His SPECT demonstrated hypoperfusion not in the medial temporal cortices, but in the parieto-occipital lobes, where the right hemisphere was dominantly hypoperfused. He was diagnosed with probable DLB. In addition to recurrent visual hallucinations, he showed a sense of self- (or others) transfiguration, consciousness of something non-existent (Leibhaftige Bewusstheit; Jaspers, K...
2006: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
Keiichiro Wada, Yumiko Motoi, Yasuko Komatsuzaki, Masashi Takanashi, Hideo Mori, Takao Urabe, Yoshikuni Mizuno
We report an 81-year-old patient with progressive dementia, disinhibition, and gait disturbance. He showed visuospacial disorientation, apathy, and gait disturbance at 76 years of age. When he was 77 years old, he was diagnosed Parkinson's disease and treated with the 1-dopa, the dopamine agonist, the amantadin, and the anti-cholinergic drug. These treatments didn't improve his motor disturbances. His motor disturbances, apathy, and abnormal behavior progressed gradually. He was admitted to the hospital at the age of 77...
January 2006: Nō to Shinkei, Brain and Nerve
A Ardila-Ardila, K Goodkin, M Concha-Bartolini, R Lecusay-Ruiz, S O Mellan-Fajardo, P Suárez-Bustamante, R Molina-Vásquez, D Lee, G Chayeb, F L Wilkie
OBJECTIVE: To develop a neuropsychological test battery in Spanish for the cognitive evaluation of HIV 1 infected patients. DEVELOPMENT: Departing from the suggestions presented by the work group of the National Institute of Mental Health (USA), a neuropsychological assessment battery was developed. It was named HUMANS (HIV/University of Miami Annotated Neuropsychological test battery in Spanish). This battery includes the following domains: 1) attention and speed of processing information, 2) memory, 3) executive function, 4) language, 5) visuospacial/visuoconstructive abilities, and 6) motor abilities...
April 16, 2003: Revista de Neurologia
M Bjeljac, E Keller, M Regard, Y Yonekawa
The fact that neurological status and physical integrity alone do not sufficiently assess the overall state of patients after aneurysmal subarachnoid hemorrhage (SAH) gives rise to the necessity for complementary neuropsychological investigation. Neuropsychological work-up should also cover an emotional state, psychosocial adjustment and competence in everyday life of the patients. In our prospective study we investigated 82 patients three months and one year after SAH and early clipping of the aneurysm. For the evaluation of postoperative neurological functions the Glasgow Outcome Scale (GOS) was used...
2002: Acta Neurochirurgica. Supplement
M C Etchepareborda
INTRODUCTION: The quality of life of an epileptic patient largely depends on the interplay of the control of the convulsive crises and the degree to which higher mental functions are affected. Some types of epilepsy lead to mental retardation during development and with others the basic cerebral mechanisms for processing data are damaged and this may lead to transient or permanent cogniscitive deterioration. DEVELOPMENT: There are certain important clinical factors such as the site of the discharge regarding the lobe, hemisphere, type of cerebral area involved and the age of the patient...
February 1999: Revista de Neurologia
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