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Brain and Cognitive Reserve

Not Applicable
Completed
Conditions
Brain Ischemia
Interventions
Other: neurologic and neuropsychological evaluation
Registration Number
NCT02819167
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Ischemic strokes are one of the leading causes of handicap and death in elderly people in France.

Cognitive reserve (CR) is an active model, defined as a function of lifetime intellectual activities and other environmental factors that explain differential susceptibility to functional impairment in the presence of pathology or other neurological insult. CR is estimated using variables for cognitive activity: years of education, professional status, socioeconomic status... Furthermore, brain reverse (BR) is a passive and quantitative model that depend on brain size and other quantitative aspects of the brain that explain differential susceptibility to functional impairment in the presence of pathology.

Firstly, volume and localization of ischemic strokes have a great impact on CR and BR due to brain injury. On the other hand, CR influences the severity and the expression of cognitive diseases.

The investigators realize a prospective study in order to assess the impact of CR and BR on cognitive prognosis after a right middle cerebral artery ischemic stroke in elderly patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • ≥70 years old
  • right middle cerebral artery ischemic stroke
  • hospitalized in neurovascular unit of Pierre Wertheimer hospital between January 2015 to January 2016
Read More
Exclusion Criteria
  • Contraindication for MRI
  • Hemorrhagic stroke
  • Aphasia
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
neurologic and neuropsychological evaluationneurologic and neuropsychological evaluation-
Primary Outcome Measures
NameTimeMethod
evaluation of cognitive prognosisone year post Ischemic stroke

measure will be performed with the Mattis dementia rating scale

Secondary Outcome Measures
NameTimeMethod
Volume of leucoencephalopathyone year post Ischemic stroke

measure will be performed with a MRI

volume of hippocampicone year post Ischemic stroke

measure will be performed with a MRI

brain injuryone year post Ischemic stroke

measure will be performed with a MRI

volume of ischemic strokeone year post Ischemic stroke

measure will be performed with a MRI

evaluation of cognitive reserveone year post Ischemic stroke

measure will be performed with the Cognitive reserve index questionnaire

Trial Locations

Locations (1)

Hôpital des Charpennes

🇫🇷

Lyon, France

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