Cognitive Testing: Achilles Heel of Clinical Neurology - USF Health

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Stroke and Cognition - a new era • Vascular cognitive disorder • Vascular cognitive impairment • Vascular dementia • Dementia: Vascular vs neurodegenerative • Alert, orientated x 3 • MMSE • Neuropsychological testing • A treatable condition
Scope of the problem • Cerebrovascular disease and neuropsychiatric disorders are leading cause of disability worldwide • The frontal lobes comprise ~ 1/3 of the cerebrum and are supervisory to all other cortical and subcortical processes • The frontal lobes and their networks are damaged in over half of all ischemic stroke • No stroke measurement scale incorporates testing of frontal systems • This impacts decisions regarding treatment or management.
Page 1: Cognitive Testing. Achilles Heel of
Page 5 and 6: Spectrum of Frontal Network Disorde
Page 8 and 9: Hemispheric dominance Left hemisphe
Page 10 and 11: Cognitive impairment and stroke. Pi
Page 12 and 13: Lhermitte F. Human Autonomy and The
Page 14 and 15: Coconut Testing • Neuropsychologi
Page 16 and 17: Neuropsychological Tests
Page 18 and 19: Emotional Intelligence Scoring
Page 20 and 21: FRSBE QuickTime and a TIFF (Uncompr
Page 22 and 23: Misery Perfusion Syndrome. Post ste
Page 24 and 25: A 24 year old man • NIHSS = 1 •
Page 26 and 27: Abulia - spectrum of disorders •
Page 28 and 29: Deep venous thrombosis QuickTime an
Page 30 and 31: Posterior lesions and frontal syndr
Page 32 and 33: Transcortical Motor Aphasia • Int
Page 34 and 35: FNS by stroke severity. F ratio 4.7
Page 36 and 37: Organicity: Structural/Chemical/Ele
Page 38 and 39: Pharmacotherapy of cognitive disord
Page 40 and 41: Experimental Trial • Secondary Ai
Page 42 and 43: State dependent vs “hard wired”
Page 44 and 45: Thank You

Cognitive Testing: Achilles Heel of Clinical Neurology - USF Health

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