Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation
Artículo de revista
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.pdf
Título: Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation.pdf
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Título: Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation.pdf
Tamaño: 107.0Kb
PDFLEER EN FLIP
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