Title: Study of Vascular Causes of Cognitive Dysfunction in Geriatric Patients
Authors: Dr Shishir Pandey, Dr Nimisha Mishra, Dr Anurag Churasia, Dr Pradeep Kumar
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.87
Abstract
Introduction: Prevalence of cognitive dysfunction in patient attending the hospital is remarkably higher (31.53%) than in general population (3.5%).Many, often treatable, cognitive dysfunction cases are taken complacently and, either not identified or, ignored being attributed to aging process.
Objectives: (1) To unravel the vascular causes of cognitive dysfunction in geriatric patient and to correlate its clinical picture.
(2)To find out pattern of stroke, hypertension and cardic causes of cognitive dysfunction.
Material and Method: Total 1077 patient screened out of which 175 patients fulfill the criteria of age above 65 years with clinical evidence of cognitive dysfunction and scoring of <24 on MMSE are included in study, diagnostic categorization, routine and special investigation were conducted out in each patient.
Result: Major vascular causes of cognitive dysfunction are stroke ,hypertension, and cardic respectively out of which stroke caused cognitive dysfunction in 33% of cases, hypertension in 19% cases, cardic disease caused cognitive dysfunction in 15% of cases.
Conclusion: The causes of cognitive dysfunction are multiple especially in geriatric age groups. Poor awareness and illiteracy towards causes appear as major susceptible factors for identification of various physical disorders eventually leading to gross dysfunctions. Many often cognitive dysfunctions are taken complacently, attributing to the aging process and allow reversibility to slip into irreversibility.
Keywords: cognitive dysfunction, MMSE, vascular.
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