Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test

ObjectiveThis study aimed to investigate the effect of posterior circulation ischemia (PCI) on attention network function and to determine whether PCI is holistic or selective attention network deficit and which attention network is affected.MethodsThirty-six PCI patients aged 30 to 75 were assessed...

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Main Authors: Na Li, Chuanjin Li, Xiaohui Xie, Gang Liu, Kai Wang, Wendong Zhang, Jin Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2022.1001500/full
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author Na Li
Chuanjin Li
Xiaohui Xie
Gang Liu
Kai Wang
Wendong Zhang
Jin Fan
author_facet Na Li
Chuanjin Li
Xiaohui Xie
Gang Liu
Kai Wang
Wendong Zhang
Jin Fan
author_sort Na Li
collection DOAJ
description ObjectiveThis study aimed to investigate the effect of posterior circulation ischemia (PCI) on attention network function and to determine whether PCI is holistic or selective attention network deficit and which attention network is affected.MethodsThirty-six PCI patients aged 30 to 75 were assessed using the Attention Network Test and the Mini-Mental State Examination (MMSE). There were no significant differences in age, sex, and education between PCI group and the control group (n = 32). All data were statistically analyzed by SPSS 23.0 software.ResultThere were no significant difference in the MMSE scores between the two groups. Compared with the control group, the PCI group had significantly shorter response time for alerting and orienting network. The executive control network response time was significantly longer in PCI group than in the control group. The overall mean response time was also significantly longer in PCI group than in normal control group. There was no significant difference in mean accuracy between the two groups.ConclusionThe alerting, orienting, and executive control networks were significantly less efficient in PCI group than in the control group (P < 0.01). This indicates impaired attention network in PCI patients. Since transient nerve seizures caused by vertebrobasilar ischemia may precede posterior circulation stroke, early assessment of cognitive function in patients with PCI is particularly important, and ANT is an excellent tool for this assessment.
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spelling doaj.art-b13bc96286804a0f876e29690822a9bd2023-01-06T16:06:04ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612023-01-011610.3389/fnhum.2022.10015001001500Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network TestNa Li0Chuanjin Li1Xiaohui Xie2Gang Liu3Kai Wang4Wendong Zhang5Jin Fan6The Third Department of Encephalopathy, The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui, ChinaThe First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, ChinaDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaThe Third Department of Encephalopathy, The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui, ChinaDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Encephalopathy, The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, ChinaDepartment of Psychiatry and Neuroscience, Mount Sinai School of Medicine, New York, NY, United StatesObjectiveThis study aimed to investigate the effect of posterior circulation ischemia (PCI) on attention network function and to determine whether PCI is holistic or selective attention network deficit and which attention network is affected.MethodsThirty-six PCI patients aged 30 to 75 were assessed using the Attention Network Test and the Mini-Mental State Examination (MMSE). There were no significant differences in age, sex, and education between PCI group and the control group (n = 32). All data were statistically analyzed by SPSS 23.0 software.ResultThere were no significant difference in the MMSE scores between the two groups. Compared with the control group, the PCI group had significantly shorter response time for alerting and orienting network. The executive control network response time was significantly longer in PCI group than in the control group. The overall mean response time was also significantly longer in PCI group than in normal control group. There was no significant difference in mean accuracy between the two groups.ConclusionThe alerting, orienting, and executive control networks were significantly less efficient in PCI group than in the control group (P < 0.01). This indicates impaired attention network in PCI patients. Since transient nerve seizures caused by vertebrobasilar ischemia may precede posterior circulation stroke, early assessment of cognitive function in patients with PCI is particularly important, and ANT is an excellent tool for this assessment.https://www.frontiersin.org/articles/10.3389/fnhum.2022.1001500/fullposterior circulation ischemicAttention Network Testcognitionalertingorientingexecutive control
spellingShingle Na Li
Chuanjin Li
Xiaohui Xie
Gang Liu
Kai Wang
Wendong Zhang
Jin Fan
Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test
Frontiers in Human Neuroscience
posterior circulation ischemic
Attention Network Test
cognition
alerting
orienting
executive control
title Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test
title_full Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test
title_fullStr Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test
title_full_unstemmed Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test
title_short Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test
title_sort impairment of attention network function in posterior circulation ischemia evidence from the attention network test
topic posterior circulation ischemic
Attention Network Test
cognition
alerting
orienting
executive control
url https://www.frontiersin.org/articles/10.3389/fnhum.2022.1001500/full
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