Difference of cognitive impairment in ischemic stroke patients based on hemiparesis side at Atma Jaya Hospital, Indonesia, 2014‐2018

Abstract

AbstractBackgroundCognitive impairment in stroke patients can decrease their quality of life. The characteristics of cognitive impairment may be different based on the lesion’s location. Objective was to assess the difference of cognitive function in ischemic stroke patients based on hemiparesis side.MethodA cross‐sectional research on 125 ischemic stroke patients in Atma Jaya Hospital 2014‐2018. Analyzed data includes age, hemiparesis side, MMSE and MoCA‐INA scores. Data was analyzed using univariate and bivariate Mann‐Whitney test.ResultPatients with left hemiparesis had higher scores in all categories of MMSE and MoCA‐INA than patients with right hemiparesis. In patients aged less than 55 years old, MoCA‐INA results showed that left hemiparesis had a significantly higher language score (p=0,030); but naming, delayed recall, and orientation scores were higher in right hemiparesis. In patients aged more than 55 years old, scores for visuospatial in MMSE and language in MoCA‐INA were higher in right hemiparesis.ConclusionOverall scores for MMSE and MoCA‐INA in left hemiparesis were higher than right hemiparesis, although not significant. Language ability measured with MoCA‐INA was significantly higher in left hemiparesis in patients aged less than 55 years old.