Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia

The aim of our work was to study the neurological status and cognitive function in patients with stage I and II CCI, depending on its nature. Material and Methods: The study included 302 patients (mean age - 61.3±0.3 years; 165/54.6% men and 137/45.4% women) with stage I and II CCI. Clinical and n...

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Main Authors: Yokudhon N. Madjidova, Dildora Khaidarova
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2014-09-01
Series:International Journal of Biomedicine
Subjects:
Online Access:http://ijbm.org/articles/Article4_3_CR3.pdf
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author Yokudhon N. Madjidova
Dildora Khaidarova
author_facet Yokudhon N. Madjidova
Dildora Khaidarova
author_sort Yokudhon N. Madjidova
collection DOAJ
description The aim of our work was to study the neurological status and cognitive function in patients with stage I and II CCI, depending on its nature. Material and Methods: The study included 302 patients (mean age - 61.3±0.3 years; 165/54.6% men and 137/45.4% women) with stage I and II CCI. Clinical and neurological examination, study of cognitive function, and MRI were performed in all patients. The degree of cognitive defect was determined by the MMSE (Mini-Mental State Exam) test and the Bourdon test (visual perception and vigilance). All the subjects were categorized into two groups. Group 1 consisted of 133 patients with the amnestic type of MCI (AT-MCI); Group 2 consisted of 169 patients with the multifunction type of MCI (MT-MCI). Results: The highest frequency of complaints of a cerebral nature was observed in Group 2 patients with MT-MCI compared to Group 1 patients with AT-MCI. It should be noted that memory impairment occurred in all patients in Group 1. The clinical-neurological examination revealed that the subjective complaints of a cerebral nature occurred significantly more frequently in Group 2 patients compared with Group 1 patients, except for the memory disorders, which prevailed in Group 1 patients with AT-MCI. With regard to the objective symptoms, the focal neurological symptoms occurred with equal frequency in both groups. It should be noted that the symptoms of the carotid region were more frequent in Group 2 patients and the symptoms of the vertebrobasilar region in Group 1 patients. The parameters of the cognitive function related to the concentration and stability of attention were less disturbed in patients with AT-MCI compared with the patients having the MT-MCI, and those parameters correlated with the parameters of the neurological focal symptoms.
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spelling doaj.art-77ce683ca6fb4036a7374f3488aeb0892022-12-21T19:08:56ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292014-09-0143147150Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral IschemiaYokudhon N. Madjidova0Dildora Khaidarova1Tashkent Medical Pediatric Institute, Tashkent, Uzbekistan;Tashkent Medical Academy; Tashkent, Uzbekistan The aim of our work was to study the neurological status and cognitive function in patients with stage I and II CCI, depending on its nature. Material and Methods: The study included 302 patients (mean age - 61.3±0.3 years; 165/54.6% men and 137/45.4% women) with stage I and II CCI. Clinical and neurological examination, study of cognitive function, and MRI were performed in all patients. The degree of cognitive defect was determined by the MMSE (Mini-Mental State Exam) test and the Bourdon test (visual perception and vigilance). All the subjects were categorized into two groups. Group 1 consisted of 133 patients with the amnestic type of MCI (AT-MCI); Group 2 consisted of 169 patients with the multifunction type of MCI (MT-MCI). Results: The highest frequency of complaints of a cerebral nature was observed in Group 2 patients with MT-MCI compared to Group 1 patients with AT-MCI. It should be noted that memory impairment occurred in all patients in Group 1. The clinical-neurological examination revealed that the subjective complaints of a cerebral nature occurred significantly more frequently in Group 2 patients compared with Group 1 patients, except for the memory disorders, which prevailed in Group 1 patients with AT-MCI. With regard to the objective symptoms, the focal neurological symptoms occurred with equal frequency in both groups. It should be noted that the symptoms of the carotid region were more frequent in Group 2 patients and the symptoms of the vertebrobasilar region in Group 1 patients. The parameters of the cognitive function related to the concentration and stability of attention were less disturbed in patients with AT-MCI compared with the patients having the MT-MCI, and those parameters correlated with the parameters of the neurological focal symptoms.http://ijbm.org/articles/Article4_3_CR3.pdfchronic cerebral ischemia;mild cognitive impairment ;neurological status
spellingShingle Yokudhon N. Madjidova
Dildora Khaidarova
Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia
International Journal of Biomedicine
chronic cerebral ischemia;
mild cognitive impairment ;
neurological status
title Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia
title_full Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia
title_fullStr Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia
title_full_unstemmed Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia
title_short Clinical and Neurological Status in Patients with Mild Cognitive Impairment due to Chronic Cerebral Ischemia
title_sort clinical and neurological status in patients with mild cognitive impairment due to chronic cerebral ischemia
topic chronic cerebral ischemia;
mild cognitive impairment ;
neurological status
url http://ijbm.org/articles/Article4_3_CR3.pdf
work_keys_str_mv AT yokudhonnmadjidova clinicalandneurologicalstatusinpatientswithmildcognitiveimpairmentduetochroniccerebralischemia
AT dildorakhaidarova clinicalandneurologicalstatusinpatientswithmildcognitiveimpairmentduetochroniccerebralischemia