Characteristics of cerebellar cognitive affective syndrome in patients with acute cerebellar stroke and its impact on outcome.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology-Adult Pub Date : 2024-11-14 DOI:10.1080/23279095.2024.2429553

Tokuaki Shinya, Kota Yamauchi, Shota Tanaka, Kei Goto, Shuji Arakawa

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Abstract

Purpose: To evaluate the cerebellar cognitive affective syndrome scale (CCAS-S) in patients with acute cerebellar stroke (ACS) and examine its relationship with the discharge destination.

Methods: Patients with first-time ACS admitted to our hospital between April 2021 and April 2023 were included. The CCAS-S, Mini-Mental State Examination (MMSE), and Scale for the Assessment and Rating of Ataxia (SARA) were evaluated 1 week after stroke onset, and Functional Independence Measure (FIM)/Barthel Index (BI) at discharge, duration of hospitalization, and discharge destination were evaluated. The Mann-Whitney U test was used to compare CCAS-S and variables.

Results: Thirteen consecutive patients with ACS and age-matched comparison groups were included. The MMSE was within the normal range in all patients; however, patients with stroke had a lower total CCAS-S score (median 72, IQR 66-80) and a higher number of failed tests (median 4, IQR 3-5) than comparison. Significant deficits were observed in semantic fluency (p = 0.008), category switching (p = 0001), and similarity (p = 009). Definite CCAS were diagnosed 10 patients, respectively. Patients discharged home showed better SARA and FIM/BI but similar CCAS-S compared to those discharged to rehabilitation hospitals.

Conclusion: In patients with ACS, it is the impairment of motor function, not CCAS, that affects discharge destination.

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急性小脑卒中患者的小脑认知情感综合征特征及其对预后的影响。

目的：评估急性小脑卒中（ACS）患者的小脑认知情感综合征量表（CCAS-S），并研究其与出院去向的关系：纳入2021年4月至2023年4月期间我院收治的首次ACS患者。方法：纳入 2021 年 4 月至 2023 年 4 月我院首次收治的小脑卒中（ACS）患者，评估卒中发生 1 周后的 CCAS-S、迷你精神状态检查（MMSE）和共济失调评估与评分量表（SARA），并评估出院时的功能独立性测量（FIM）/巴特尔指数（BI）、住院时间和出院去向。采用 Mann-Whitney U 检验比较 CCAS-S 和变量：结果：连续纳入了 13 名 ACS 患者和年龄匹配的对比组。所有患者的 MMSE 均在正常范围内；但与对比组相比，脑卒中患者的 CCAS-S 总分较低（中位数 72，IQR 66-80），测试失败次数较多（中位数 4，IQR 3-5）。在语义流畅性（p = 0.008）、类别转换（p = 0001）和相似性（p = 009）方面观察到明显缺陷。分别有10名患者被确诊为CCAS。出院回家的患者与康复医院的患者相比，SARA和FIM/BI表现更好，但CCAS-S相似：结论：对 ACS 患者而言，影响出院去向的是运动功能障碍，而非 CCAS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.