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communication disorders/infark
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Hypertension and diabetes mellitus as determinants of multiple lacunar infarcts.
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OBJECTIVE
We investigated the relationship between hypertension, diabetes mellitus, and lacunes.
METHODS
From 1237 cases of ischemic stroke in the Stroke Data Bank of the National Institute of Neurological and Communicative Disorders and Stroke, data from 637 patients whose initial computed tomogram
Multiple cerebral infarcts following septic shock.
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A 60-year-old female in septic shock developed neurological signs and symptoms. She had left-sided hemiparesis, left homonymous hemianopia, bimanual coordination disorder, a language dysfunction of anomic aphasic type and a non-aphasic right hemispheric communication disorder. Computer tomography
Anterior choroidal artery infarction presenting as a progressive cognitive deficit.
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OBJECTIVE
The authors describe a patient in whom neuroimaging using Tc-99m HMPAO SPECT, F-18 fluorodeoxyglucose (F-18 FDG) coincidence imaging, and magnetic resonance imaging (MRI) identified an anterior choroidal artery infarction. Neuroimaging played a critical role in confirming this diagnosis,
Embolic cerebral infarction: MR findings in the first 3 hours after onset.
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OBJECTIVE
MR imaging has a high sensitivity for detecting ischemic brain parenchyma. The aim of this study was to evaluate the changes in the signal intensity of infarcted brain parenchyma on MR images obtained within the first 3 hr after the onset of signs and symptoms in patients with embolic
Infarcts of undetermined cause: the NINCDS Stroke Data Bank.
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In a prospective study of 1,805 hospitalized patients in the Stroke Data Bank of the National Institute of Neurological and Communicative Disorders and Stroke, the 1,273 with infarction were classified into diagnostic subtypes. Diagnosis was based on the clinical history, examination, and laboratory
Assessing quality of life after stroke. The value and limitations of proxy ratings.
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OBJECTIVE
Because many stroke survivors have cognitive and communication disorders, self-reported information on a patient's quality of life (QL) cannot always be obtained. Proxy ratings may be used to prevent exclusion of this highly relevant subgroup of patients from QL studies. The purpose of
Clinicopathologic correlates in Alzheimer disease: assessment of clinical and pathologic diagnostic criteria.
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The neuropathologic findings from a group of 123 patients who have come to autopsy from the Rochester Alzheimer Disease Project (RADP) are presented. Among these 123 cases, there were 94 demented subjects who met the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer
A population-based study of dementia in 85-year-olds.
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BACKGROUND
The aim of this study was to investigate the causes, severity, and prevalence of dementia in a representative sample of 494 85-year-olds living in Gothenburg, Sweden.
METHODS
The study included a psychiatric interview, neuropsychological and physical examinations, comprehensive laboratory
Epidemiology of Alzheimer's presenile dementia in Scotland, 1974-88.
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OBJECTIVE
To describe the epidemiology of presenile Alzheimer's disease in Scotland from 1974 to 1988.
METHODS
Retrospective review of hospital records of patients aged less than 73 years admitted to psychiatric hospital with various diagnoses of dementia. Diagnoses were classified by National
Linguistic abilities in major vascular cognitive impairment: a comparative study with Alzheimer's disease.
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We assessed the linguistic abilities of multi-infarct (cortical) dementia and subcortical ischemic vascular dementia (VaD) patients and compared the linguistic performance of VaD and Alzheimer's Disease (AD) patients. A total of 23 VaD patients, 20 mild AD patients, and 31 controls participated in
The locked-in syndrome: a review and presentation of two chronic cases.
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The locked-in syndrome (LIS) is a state of an upper motor neurone quadriplegia involving the cranial nerve pairs with usually a lateral gaze palsy, paralytic mutism, full consciousness and awareness by the patient of his environment. A historical presentation of the LIS is given as well as a short
Rehabilitation of word deafness due to auditory analysis disorder.
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BACKGROUND
Word deafness refers to an inability to understand spoken words despite intact hearing. In a cognitive approach, word deafness could be explained by a deficiency at the lower perceptive level of the auditory process. The impairment of the auditory analysis system would explain a disorder
Correlates of delayed referral for the diagnosis of dementia in an outpatient population.
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BACKGROUND
Early diagnosis of dementia is critical, but there is usually a time lag between onset of symptoms and referral for neuropsychological testing and dementia diagnosis. We aimed to identify factors correlated with this delayed referral.
METHODS
We studied 140 patients with cognitive
Clinical-neuropathological correlations in Alzheimer's disease and related dementias.
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OBJECTIVE
To compare neurologists' initial clinical diagnoses made according to National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) and Diagnostic and Statistical Manual of Mental Disorders, Revised Third
Aphasia, depression, and non-verbal cognitive impairment in ischaemic stroke.
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Aphasia, depression, and cognitive dysfunction are common consequences of stroke, but knowledge of their interrelationship is limited. This 1-year prospective study was designed to evaluate prevalence and course of post-stroke aphasia and to study its psychiatric, neurological, and cognitive
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