Publications by authors named "R Van der Giessen"

Background: Post-stroke cognitive impairment (PSCI) occurs in up to 50% of stroke survivors. Presence of pre-existing vascular brain injury, in particular the extent of white matter hyperintensities (WMH), is associated with worse cognitive outcome after stroke, but the role of WMH location in this association is unclear.

Aims: We determined if WMH in strategic white matter tracts explain cognitive performance after stroke.

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The cerebellum is traditionally known to subserve motor functions. However, for several decades, the concept of the "cerebellar cognitive affective syndrome" has evolved. Studies in healthy participants and patients have confirmed the cerebellar role in language.

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Part of the extra-pyramidal system, the cerebellum is more and more recognized by its non-motor functions known as the cerebellar cognitive affective syndrome. Several studies have identified disturbances specifically in executive and attentional functions after focal cerebellar lesions. However, most studies were performed in small and heterogeneous patient groups.

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Background: White matter hyperintensities (WMH) are associated with cognitive dysfunction after ischemic stroke. Yet, uncertainty remains about affected domains, the role of other preexisting brain injury, and infarct types in the relation between WMH burden and poststroke cognition. We aimed to disentangle these factors in a large sample of patients with ischemic stroke from different cohorts.

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Article Synopsis
  • PSCI affects about half of stroke survivors, with the study showing no difference in overall occurrence between men and women but notable differences in specific cognitive impairments.
  • Male stroke survivors tend to have less impairment in attention, executive functioning, and language, but a higher risk for verbal memory impairment compared to females.
  • The Mini-Mental State Examination is more sensitive but less specific for detecting PSCI in women, while the Montreal Cognitive Assessment shows similar sensitivity and specificity for both sexes.
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