不同类型脑病患者的认知功能与综合征特征和神经影像学变化之间的关系

K. Duve, O.P. Venger
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引用次数: 0

摘要

认知障碍可能是直接或间接脑损伤、缺氧、水肿、代谢紊乱、神经变性过程、代谢性脑病、电解质异常、器官衰竭、杀虫剂、毒素、药物和感染过程影响的结果。本研究介绍了慢性创伤后(CTE)、慢性血管性(CVE)、慢性酒精诱发(CAIE)和感染后(PIE)脑病患者认知功能与综合征特征和神经影像学变化之间的相关性。研究人员对 520 名 CTE(145 人)、CVE(145 人)、CAIE(102 人)和 PIE(128 人)患者的病历数据进行了分析。使用多层计算机断层扫描进行了神经影像学检查。认知功能采用蒙特利尔认知评估进行检查。数据统计分析借助计算机软件 Microsoft Excel 和 Statistica 13.0 进行。CVE患者的认知功能与锥体外系综合征之间可能存在关系;CAIE患者的认知障碍与情绪不稳定障碍之间可能存在关系;PIE患者的头痛综合征、运动障碍综合征和小脑共济失调综合征之间可能存在关系。在 CTE 和 CAIE 患者中,认知功能与脑室扩大之间存在显著相关性;在 PIE 患者中,认知功能与蛛网膜下腔扩大之间存在显著相关性。
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The relationship between cognitive functioning and syndromic characteristics and neuroimaging changes in patients with different types of encephalopathies
Cognitive impairment can be a consequence of direct and indirect brain injury, hypoxia, edema, metabolic disorders, neurodegenerative processes, metabolic encephalopathies, electrolyte abnormalities, organ failure, the effects of pesticides, toxins, drugs, and infectious processes. The results are presented from the study on correlations between cognitive functioning and syndromic characteristics and neuroimaging changes in patients with chronic post-traumatic (CTE), chronic vascular (CVE), chronic alcohol-induced (CAIE) and post-infectious (PIE) encephalopathies. The data of 520 medical records of patients with CTE (n = 145), CVE (n = 145), CAIE (n = 102) and PIE (n = 128) were analyzed. Neuroimaging was performed using multislice computed tomography. Cognitive functions were examined using the Montreal Cognitive Assessment. Statistical analysis of data was carried out with the help of computer software Microsoft Excel and Statistica 13.0. There was a probable relationship between cognitive functioning and extrapyramidal syndrome in patients with CVE; cognitive impairment and emotional lability disorder in patients with CAIE; cephalalgia syndrome, motor disorder syndrome and cerebellar ataxia syndrome in patients with PIE. In participants with CTE and CAIE, there was a significant correlation between cognitive functioning and ventricular enlargement; in patients with PIE — between cognitive functioning and the enlargement of the subarachnoid spaces.
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