Abstract
ABSTRACT.Cognitive deficits often occur in people with epilepsy (PWE). However, in Brazil, PWE might not undergo neurocognitive evaluation due to the low number of validated tests available and lack of multidisciplinary teams in general epilepsy outpatient clinics.Objective:To correlate Brief Cognitive Battery-Edu (BCB-Edu) scores with epilepsy characteristics of 371 PWE.Methods:Clinical and cognitive assessment (MMSE, BCB-Edu) of 371 PWE aged >18 years was performed. The clinical aspects of epilepsy were correlated with BCB-Edu data. Cognitive data of PWE were compared against those of 95 healthy individuals (NC), with p-<0.05.Results:People with epilepsy had lower cognitive performance than individuals in the NC group. Cognitive aspects also differed according to epilepsy characteristics. Predictive factors for impairment in multiple cognitive domains were age and use of more than one antiepileptic drug (logistic regression; R2 Nagelkerke=0.135).Conclusion:Worse cognitive performance was found in PWE on different domains. There was a relationship between cognitive impairment and the aspects of epilepsy. BCB-Edu proved to be effective as a cognitive assessment screening test for epilepsy in adults.
Highlights
Cognitive deficits often occur in people with epilepsy (PWE)
186 Cognition and epilepsy: cognitive screening test Tedrus et al It is well known that, in Brazil, neurocognitive assessment is not often performed effectively in PWE cases, which are usually treated at general neurology outpatient clinics
Results showed that patients with different types of epilepsy performed worse on neuropsychological testing across almost all domains of cognitive function when compared with a similar individual from the NC group
Summary
Cognitive deficits often occur in people with epilepsy (PWE). in Brazil, PWE might not undergo neurocognitive evaluation due to the low number of validated tests available and lack of multidisciplinary teams in general epilepsy outpatient clinics. It is well known that, in Brazil, neurocognitive assessment is not often performed effectively in PWE cases, which are usually treated at general neurology outpatient clinics This is due to several factors, such as the scarcity of adapted and validated tests for the Brazilian context, the scope of cognitive batteries and difficulties due to low educational levels, as well as the sociodemographic and cultural heterogeneity of the population, among others.[6]. The Brief Cognitive Battery-Edu (BCB-Edu) is well documented as a useful and accurate tool for cognitive screening in the assessment of individuals with different levels of formal education and those diagnosed with dementia.[7,8,9] no studies using the BCB-Edu as a screening test in a general outpatient epilepsy clinic were found
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