Abstract
Behavioral and cognitive changes in acute and post-stroke period are frequent and take part in patients’s rehabilitation. to distinguish behavioral, mood and cognitive changes in patients in the acute period of large artery atherosclerotic ischemic (LAAIS) and intracerebral hemorrhage (ICH) in the sample of 100 patients. We applied NIHSS scale; MoCA test, FAB test, clock drawing test, "Schulte Table" technique; Spielberger`s Test Anxiety, the Bartell index. Mean age of LAAIS patients was 50.5 ± 9.8 years, there were 54.8% of men. The pronounced cognitive impairment was found in patients with a long-term hypertension (14.6 ± 6.8 points (p = 0.2) in MOCA test). In the ICH group, severe neurologic impairment according to NIHSS 9.5 ± 2.6 points was followed the moderate CI according to MOCA test: 14.7 ± 3.8 points. High personal and moderate situational anxiety (p = 0.006) was specific more to cardioembolic strokes patients. These patients showed a high dependence on others on the Bartell index (74.4 ± 3.7), p = 0.001. Mild cognitive impairment were observed in patients with a small vessel occlusion and this group did not have a functional dependence on others. Cognitive impairment is typical for LAAIS and expressed in iimpaired constructive praxis, speech disturbances and attention span. Slow course of LAA is bringing to cognitive and behavioral changes with secondary depression. The duration of hypertension, large size of the infarction and high level of anxiety made these patients highly dependent on others.
Published Version
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