QUALITY OF LIFE AND NEUROPSYCHOLOGICAL FEATURES IN PATIENTS WITH STROKE IN THE VERTEBROBASILAR BASIN
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i3.13851Keywords:
stroke, vertebrobasilar basin, neuropsychological test, quality of lifeAbstract
SUMMARY. The aim – to analyze the quality of life and the state of the neuropsychological sphere in patients who have suffered a stroke in the vertebrobasilar basin.
Material and Methods. We examined 98 patients who had suffered an ischemic stroke in the vertebrobasilar basin (men 69, women 29). Patients were divided into 5 groups: group 1 – patients in the early subacute period (7 days – 3 months), group 2 – patients in the late subacute period of stroke (3–6 months), group 3 – patients in the chronic period of stroke (6–12 months), groups 4 and 5 – patients with stroke consequences: (1–3 years and more than 5 years), control group – 20 healthy individuals. Research methods: general clinical, neurological, instrumental, and neuropsychological.
Results. Lacunar subtype of stroke occurred in 4 (4.08 %) patients, hemodynamic stroke in 10 (10.2 %), 68 (69.3 %) patients had an atherothrombotic stroke, 16 (16.3 %) – cardioembolic stroke. According to the NIHSS scale, mild ischemic stroke was diagnosed in 52 (53 %), moderate stroke in 34 (34.6 %), and severe stroke in 12 (12.2 %) patients with cerebral ischemia. According to the MoCA test results, a cognitive decline of varying severity was present in 93 patients (94.8 %) and was significantly lower than normal (p<0.05). Mild and moderate cognitive impairment was detected in 80 (86.7 %) patients, and severe cognitive impairment in 13 (13.2 %) patients. The 10-word memorization test (Schulte table) demonstrated low average results in all groups of patients. The SF-36 questionnaire recorded low results in all 98 (100 %) patients. We found that patients in groups 4 and 5 had a significantly deteriorating level of physical functioning, social functioning, mental health, and psychological component of health compared to patients in groups 1, 2, 3.
Conclusions. The obtained results indicate a progressive decline in the physical and psychological components of health, mild and moderate cognitive impairment in patients who had a stroke in the vertebrobasilar basin.
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