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© 1985 Oxford University Press

research-article

COGNITIVE IMPAIRMENT AFTER STROKE

SHAH EBRAHIM, Lecturer, FIONA NOURI, Research Occupational Therapist and DAVID BARER, Research Registrer

Department of Health Care of the Elderly, Nottingham University Medical School, Queen's Medical Centre Nottingham
Stroke Research Unit Offices, General Hospital Nottingham

Cognitive ability was assessed in a consecutive series of 189 six-month survivors of an acute stroke. Twenty-two patients were cognitively impaired at six months. Amongst 10 patients whose cognitive ability deteriorated between one and six months, four also had marked depressive symptoms. Age and severity of stroke were the factors most strongly associated with cognitive impairment at six months. Patients with left hemisphere damage had significantly more difficulty with short-term recall and those with bilateral hemisphere signs were most at risk of cognitive impairment. Patients with cognitive impairment after a stroke should be carefully assessed for depressed mood which may benefit from treatment.

accepted in revised form May 9, 1985.


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