Cognitive dysfunction in Multiple Sclerosis

In Multiple Sclerosis (MS) prevalence studies of community and clinical samples, indicate that 45–60% of patients are cognitively impaired. These cognitive dysfunctions have been traditionally described as heterogeneous, but more recent studies suggest that there is a specific pattern of MS-related...

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Main Authors: Joana eGuimarães, Maria José eSá
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-05-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00074/full
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author Joana eGuimarães
Joana eGuimarães
Maria José eSá
Maria José eSá
author_facet Joana eGuimarães
Joana eGuimarães
Maria José eSá
Maria José eSá
author_sort Joana eGuimarães
collection DOAJ
description In Multiple Sclerosis (MS) prevalence studies of community and clinical samples, indicate that 45–60% of patients are cognitively impaired. These cognitive dysfunctions have been traditionally described as heterogeneous, but more recent studies suggest that there is a specific pattern of MS-related cognitive dysfunctions. With the advent of disease-modifying medications for MS and emphasis on early intervention and treatment, detection of cognitive impairment at its earliest stage becomes particularly important. In this review the authors address: the cognitive domains most commonly impaired in MS (memory, attention, executive functions, speed of information processing and visual spatial abilities); the physiopathological mechanism implied in MS cognitive dysfunction and correlated brain MRI features; the importance of neuropsychological assessment of MS patients in different stages of the disease and the influence of its course on cognitive performance; the most used tests and batteries for neuropsychological assessment; therapeutic strategies to improve cognitive abilities.
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spelling doaj.art-c784fa51ac05404da6e2f2542a2ff5992022-12-22T03:15:52ZengFrontiers Media S.A.Frontiers in Neurology1664-22952012-05-01310.3389/fneur.2012.0007423493Cognitive dysfunction in Multiple SclerosisJoana eGuimarães0Joana eGuimarães1Maria José eSá2Maria José eSá3MS Clinic, Department of Neurology, Centro Hospitalar São JoãoFaculty of Medicine, University of PortoMS Clinic, Department of Neurology, Centro Hospitalar São JoãoFaculty of Health Sciences, University Fernando PessoaIn Multiple Sclerosis (MS) prevalence studies of community and clinical samples, indicate that 45–60% of patients are cognitively impaired. These cognitive dysfunctions have been traditionally described as heterogeneous, but more recent studies suggest that there is a specific pattern of MS-related cognitive dysfunctions. With the advent of disease-modifying medications for MS and emphasis on early intervention and treatment, detection of cognitive impairment at its earliest stage becomes particularly important. In this review the authors address: the cognitive domains most commonly impaired in MS (memory, attention, executive functions, speed of information processing and visual spatial abilities); the physiopathological mechanism implied in MS cognitive dysfunction and correlated brain MRI features; the importance of neuropsychological assessment of MS patients in different stages of the disease and the influence of its course on cognitive performance; the most used tests and batteries for neuropsychological assessment; therapeutic strategies to improve cognitive abilities.http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00074/fullMultiple Sclerosiscognition domainsphysiopathologicalbrain MRIdisease evoluationneuropsychological assessment
spellingShingle Joana eGuimarães
Joana eGuimarães
Maria José eSá
Maria José eSá
Cognitive dysfunction in Multiple Sclerosis
Frontiers in Neurology
Multiple Sclerosis
cognition domains
physiopathological
brain MRI
disease evoluation
neuropsychological assessment
title Cognitive dysfunction in Multiple Sclerosis
title_full Cognitive dysfunction in Multiple Sclerosis
title_fullStr Cognitive dysfunction in Multiple Sclerosis
title_full_unstemmed Cognitive dysfunction in Multiple Sclerosis
title_short Cognitive dysfunction in Multiple Sclerosis
title_sort cognitive dysfunction in multiple sclerosis
topic Multiple Sclerosis
cognition domains
physiopathological
brain MRI
disease evoluation
neuropsychological assessment
url http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00074/full
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