Rehabiliteringsmedicin : diagnostisering och behandling av kognitiv svikt vid stroke.

Abstract

Abstract Background; For stroke patients and their relatives in cognitive impairment one of the most troubling problems. The assignment is aiming to describe what cognitive impairment is, how the diagnosis is set and which recommendations there are according to treatment and management. Method; A literature study, by reading up in textbooks and searching the databases Pubmed and Cohchrane as well as the Stroke journal for articles limited to later than 1998 and for key words as cognitive impairment, stroke rehabilitation and management. Result/Discussion; Cognitive impairment strikes 30% of the stroke patients. By affecting the frontal subcortical parts is executive function impaired with speed related motor and psychomotor activities. With hippocapal injury, vascularised by posterior circuits is also memory function affected. Comprehension of room and relations as well as language is coupled with temporal and parietal areas of affection. Neuropsychological testing has been used to diagnose dementia for a long time and is now applied on stroke patients. It is per today not consensus of which test to use and when to perform them and one has not agreed on definitive guidelines and treatment recommendations although is seems as the interest is increasing.