[Abstract] Cognitive Implications in Epilepsy.

Abstract

Cognitive dysfunction is one of the major contributors to the burden of epilepsy. It can significantly disrupt intellectual development in children and functional status and quality of life in adults. There is major evidence confirms that cognitive impairment can appear or worsen with early and chronic progressive neurologic changes in epilepsy. It has been increasingly accepted that comorbidity does not indicate causality. Certainly, cognitive impairment in epileptic patients warrant crucial evaluation and mitigation from the time of diagnosis and treatment of epilepsy. The concept of a bidirectional nature of cognitive impairment in epilepsy represents a change in the paradigm of neuropsychology of epilepsy. It has been suggested that both behavioral and cognitive dysfunction associated with epilepsy are not necessarily the consequence of active epilepsy but in fact can dominate and be associated with factors before emergence of epilepsy. This review discusses different etiologies of cognitive and behavioral comorbidities in epilepsy and tries to clarify the nature of relation between epilepsy and cognition.

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[ARTICLE] Computer Aided Technology-Based Cognitive Rehabilitation Efficacy Against Patients’ Cerebral Stroke – Full Text PDF

Abstract

Cognitive dysfunction caused by cerebral stroke in different degrees throws patients into troubles in daily life. It, therefore, has been a great challenge about how to develop a positive and accurate diagnosis and treatment program against cognitive impairments and in favor of rehabilitation of patients after cerebral stroke. This paper investigates 128 cases of stroke patients randomly chosen and included into the traditional rehabilitation and computer-aided training groups who respectively received routine drug and traditional cognitive rehabilitation therapies for 4 weeks, except that the computer-aided training group also underwent a computer-aided cognitive exercises. A Montreal Cognitive Assessment (MOCA) was introduced for rating both groups. After a comparative analysis was conducted on the results, it turns out that, after cerebral stroke of patients, whether the traditional cognitive rehabilitation therapy or the computer-aided cognitive therapy they received, the cognitive dysfunction can be relieved, but the computer-aided training process, as an adjuvant therapy, has a more significant efficacy against this symptom. It is proved that the Computer Aided Technology (CAT) has played a great role in the rehabilitation of patients with cognitive dysfunction after cerebral stroke, which attributes to its strong targeted therapy, practicality, time-saving and less effort, and good scientificity. Not only that, it also has a great practical significance for clinical cognitive rehabilitation.

Full Text PDF

Computer Aided Technology,Cerebral stroke,cognitive dysfunction

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