Stroke and cognitive impairment: understanding the connection and managing symptoms

Author:

Elendu Chukwuka1,Amaechi Dependable C.2,Elendu Tochi C.3,Ibhiedu Jennifer O.4,Egbunu Emmanuel O.5,Ndam Afuh R.6,Ogala Faith7,Ologunde Tunde7,Peterson Jesse C.8,Boluwatife Adeyemo I.9,Okongko Anietienteabasi O.10,Fatoye John O.11,Akpovona Otite L.7,Onyekweli Samuel O.12,Temitope Afolabi Y.13,Achimugu Abraham O.14,Temilade Adekola V.15

Affiliation:

1. Federal Medical Center

2. Igbinedion University Okada, Edo State

3. Imo State University, Owerri, Imo State

4. Babcock University

5. Federal Medical Centre, Bida, Federal Capital Territory, Nigeria

6. The Manor Hospital, Oxford

7. King’s College Hospital NHS Foundation Trust, Denmark Hill, London, UK

8. University of Nigeria, Enugu State

9. Lily Hospitals

10. Westend Hospital, Warri, Delta State

11. University of Ilorin, Ilorin, Kwara State

12. Obafemi Awolowo University, Osun State

13. Sacred Heart Hospital, Abeokuta

14. Lautech Teaching Hospital, Ogbomoso, Oyo State

15. Rufina Catholic Medical Center, Iperu, Ogun State

Abstract

Stroke is a leading cause of long-term disability worldwide, and cognitive impairment is a common consequence of stroke. Understanding the connection between stroke and cognitive impairment is crucial for effectively managing symptoms and improving patients’ quality of life. This abstract provides an overview of the relationship between stroke and cognitive impairment and explores strategies for managing cognitive symptoms in stroke survivors. A comprehensive review of relevant literature was conducted to examine the association between stroke and cognitive impairment. Various factors contributing to cognitive impairment after stroke were explored, including the location and severity of the stroke, vascular risk factors, and underlying mechanisms. Evidence-based strategies for managing cognitive symptoms in stroke survivors were also analyzed, such as cognitive rehabilitation, pharmacological interventions, and lifestyle modifications. The review revealed a strong link between stroke and cognitive impairment. The location and severity of the stroke play a significant role in determining the specific cognitive deficits experienced by individuals. Vascular risk factors, including hypertension, diabetes, and atrial fibrillation, contribute to cognitive decline after stroke. Mechanisms such as cerebral hypoperfusion, white matter damage, and neuroinflammation also play a role. Cognitive rehabilitation programs have shown promising results in improving cognitive function, while certain medications may help manage specific cognitive symptoms. Lifestyle modifications like physical exercise and a healthy diet have been associated with better cognitive outcomes in stroke survivors.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine,Surgery

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