Brain and Cognitive Reserve
- 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
- ≥70 years old
- right middle cerebral artery ischemic stroke
- hospitalized in neurovascular unit of Pierre Wertheimer hospital between January 2015 to January 2016
- Contraindication for MRI
- Hemorrhagic stroke
- Aphasia
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description neurologic and neuropsychological evaluation neurologic and neuropsychological evaluation -
- Primary Outcome Measures
Name Time Method evaluation of cognitive prognosis one year post Ischemic stroke measure will be performed with the Mattis dementia rating scale
- Secondary Outcome Measures
Name Time Method Volume of leucoencephalopathy one year post Ischemic stroke measure will be performed with a MRI
volume of hippocampic one year post Ischemic stroke measure will be performed with a MRI
brain injury one year post Ischemic stroke measure will be performed with a MRI
volume of ischemic stroke one year post Ischemic stroke measure will be performed with a MRI
evaluation of cognitive reserve one year post Ischemic stroke measure will be performed with the Cognitive reserve index questionnaire
Trial Locations
- Locations (1)
Hôpital des Charpennes
🇫🇷Lyon, France