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Individuals with first‐ever clinical presentation of a lacunar infarction syndrome: Is there an increased likelihood of developing mild cognitive impairment in the first 12 months after stroke?
Author(s) -
Anderson Jacqueline F. I.,
Saling Michael M.,
Srikanth Velandai K.,
Thrift Amanda G.,
Donnan Geoffrey A.
Publication year - 2008
Publication title -
journal of neuropsychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.85
H-Index - 37
eISSN - 1748-6653
pISSN - 1748-6645
DOI - 10.1348/174866408x288846
Subject(s) - lacunar stroke , stroke (engine) , neuropsychology , cognition , psychology , cognitive impairment , physical medicine and rehabilitation , physical therapy , medicine , audiology , psychiatry , ischemic stroke , ischemia , mechanical engineering , engineering
Patients who have suffered a single clinical lacunar syndrome, in the absence of any previous clinical stroke, have a varying neuroradiological profile. We examined general cognition in 30 nonaphasic first‐ever lacunar syndrome participants, using a battery of standard clinical neuropsychological measures. At a group level, stroke participants did not demonstrate any cognitive impairment relative to well‐matched community‐based controls up to 12 months after stroke. There was also no evidence of increased frequencies of mild cognitive impairment after a single clinical lacunar syndrome relative to matched control participants within the first year post‐stroke. The current findings represent the first investigation of the cognitive outcome of nonaphasic individuals who have a first‐ever clinical lacunar syndrome. It was concluded that a clinically diagnosed first ever stroke event, presenting as a lacunar syndrome, was not associated with an elevated risk of developing mild cognitive impairment 12 months post‐stroke.