STROKE IMPACT ON THE COGNITIVE FUNCTIONS OF MOROCCAN NEURO-LESIONED PATIENTS IN THE GHARB REGION

Abstract

Stroke (ischemic and hemorrhagic stroke) is a sudden-onset neurological deficit resulting from focal vascular lesions. This is due to a clot-induced obstruction of a vessel (ischemic stroke) or a rupture of a vessel causing haemorrhage (hemorrhagic stroke). The management of neuro-injured patients (AVC) is a major public health problem. The principal aim of this study is to evaluate the short and long term neuropsychological sequences following a neurological accident of neuro-injured patients hospitalized at the Kenitra Provincial Center (Morocco) in comparison with the control group. We tested 34 stroke patients, with an average age sample of 59.12 years, for a standard deviation of 14.35 with extremes between 32 and 82 years. Of these patients, 20 were female (58.82%) and 14 male (41.18%). The sex ratio is 0.7 in favour of the female sex. Both the neuro-lesioned patients and the control group benefited from neuropsychological tests. In the neurocognitive evaluation we used three neuropsychological tests: (a) The bell test or non-verbal bell dam test allows for a selective, visuospatial and strategic attentional evaluation; (b) Raven's test focuses on the nonverbal neuropsychological intelligence where the subject is led to analyze and solve each test problem based on inductive reasoning; (c) The digit memory test is a test to evaluate the short-term verbal memory and working memory capabilities of stroke patients. Our results showed through the various neurocognitive tests that our stroke patients obtained lowers score, compared to the control group (p <0.05). Raven Standard Progress Matrix Test Scores (SPMR):(Mean-Patients = 32.49, SD = 7.43 < Mean-Controls = 42.01, SD = 3.98). Digit Memory Test scores: Forward digit span (Mean-Patients = 2.21, SD = 0.5

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脑卒中对GHARB地区摩洛哥神经损伤患者认知功能的影响

脑卒中（缺血性和出血性脑卒中）是由局灶性血管病变引起的突发性神经系统缺陷。这是由于血栓引起的血管阻塞（缺血性中风）或血管破裂导致出血（出血性中风）。神经损伤患者（AVC）的管理是一个主要的公共卫生问题。本研究的主要目的是与对照组相比，评估在Kenitra省中心（摩洛哥）住院的神经损伤患者发生神经事故后的短期和长期神经心理序列。我们测试了34名中风患者，平均年龄样本为59.12岁，标准偏差为14.35，极端年龄在32岁至82岁之间。其中女性20例（58.82%），男性14例（41.18%），男女比例为0.7。神经病变患者和对照组均受益于神经心理测试。在神经认知评估中，我们使用了三种神经心理学测试：（a）bell测试或非语言bell-dam测试允许进行选择性、视觉空间和策略性的注意力评估；（b） Raven的测试侧重于非语言神经心理智力，引导受试者基于归纳推理分析和解决每个测试问题；（c） 数字记忆测试是一项评估中风患者短期言语记忆和工作记忆能力的测试。我们的结果表明，通过各种神经认知测试，我们的中风患者获得的分数较低，与对照组相比（p<0.05）。Raven标准进度矩阵测试分数（SPMR）：（平均患者=32.49，SD=7.43<平均对照=42.01，SD=3.98）。数字记忆测试分数：前向数字跨度（平均患者=2.21，SD=0.5<平均对照=2.65，SD=0.49）。后向数字跨度（平均患者=24.35；SD=2.62<平均对照=30.18；SD=2.52）。因此，患者的生活质量受到严重影响。康复是有效的，也是非常重要的，因为它提高了认知功能，如非语言技能、视觉空间和战略注意力，同时数字记忆也同样提高了患者的生活质量。

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