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Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Montaño-Lozada, J.M.; López, Norman; Espejo-Zapata, L.M.; Soto-Añari, Marcio; Ramos-Henderson, Miguel; Caldichoury-Obando, Nicole; Camargo, Loida (2021)

Introduction Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective To compare the cognitive performance of patients with epilepsy ...
Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

montaño-lozada, juan-manuel; López, Norman; ESPEJO ZAPATA, LINA MARIA; Soto-Añari, Marcio; Ramos-Henderson, Miguel; Caldichoury-Obando, Nicole; Camargo, Loida (Corporación Universidad de la Costa, 2021)

Introduction: Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective: To compare the cognitive performance of patients with epilepsy ...
Cytotoxic lesion of the corpus callosum in a patient with aphasic status epilepticus

Castiglione, Juan Ignacio; Ricciardi, Mario-Emiliano; Bensi, Catalina (Corporación Universidad de la CostaColombia, 2020-12-07)

A 47-year-old man with a history of aphasic seizures presented to the emergency room with a 12-hour global aphasia. Upon admission, brain MRI did not reveal acute lesions, and EEG showed sharp waves in the left frontal-temporal ...

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Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation
...
Montaño-Lozada, J.M. | 2021

Introduction Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation.

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Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation
...
montaño-lozada, juan-manuel | 2021

Introduction: Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective: To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology: One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results: Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion: Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation.

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Cytotoxic lesion of the corpus callosum in a patient with aphasic status epilepticus
...
Castiglione, Juan Ignacio | 2020-12-07

A 47-year-old man with a history of aphasic seizures presented to the emergency room with a 12-hour global aphasia. Upon admission, brain MRI did not reveal acute lesions, and EEG showed sharp waves in the left frontal-temporal region. An Aphasic Status Epilepticus was diagnosed and antiepileptic treatment was initiated with adequate response. A week after the episode, a new brain MRI showed a high-signal ovoid lesion on T2-weighted and FLAIR sequences in the central part of the splenium of the corpus callosum. On diffusion-weighted images (DWI) the lesion was hyperintense with decreased apparent diffusion coefficient (ADC) values, indicating restricted diffusion consistent with a cytotoxic lesion of the corpus callosum (CLOCC). Follow-up MRI one month later showed complete image resolution. CLOCCs are secondary lesions associated with various entities in which high levels of cytokines and extracellular glutamate cause intracellular edema and reduced diffusion, a condition called cytotoxic edema, which affects vulnerable brain regions such as the splenium of the corpus callosum. In epileptic patients, CLOCCs may be due to the effect of seizures, especially prolonged ones, as well as antiepileptic treatment itself. CLOCCs are rare radiological findings and must be recognized to avoid misdiagnosis.

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Browsing by Subject "Epilepsy"

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation ﻿

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation ﻿

Cytotoxic lesion of the corpus callosum in a patient with aphasic status epilepticus ﻿

Envíos recientes

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Cytotoxic lesion of the corpus callosum in a patient with aphasic status epilepticus

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Cytotoxic lesion of the corpus callosum in a patient with aphasic status epilepticus