2183 – Comparative Psychometric Analysis The Vascular, Traumatic And Epileptic Dementia

Abstract

Introduction

The cerebrovascular disorders, traumatic brain injury and epilepsy lead to the development of dementia, which requires a psychometric verification of cognitive disorders.

Objectives

In patients with dementia due to vascular brain diseases, traumatic brain injury and epilepsy was analyzed psychometric indicators of cognitive impairment.

Aim

Was studied the severity psychometric characteristics of cognitions in patients with dementia due to vascular diseases of the brain, brain injury and epilepsy.

Materials

5 groups patients with dementia: F01.00 - 14 patients (mean age 55 years), F01.1 + F01.3 - 14 patients (mean age 60 years), F01.8 - 14 patients (mean age 65 years), F02.802 - 21 patients (mean age 50 years), F02.803 - 15 patients (mean age 38.5 years).

Methods

The psychometric methods: MMSE, FAB, Schulte, the clock drawing test, nonparametric statistical methods.

Table of results:

Diagnosis	MMSE	FAB	Table Schulte (seconds)	Clock drawing test
F02.803	19,93±3,73	13,30±2,17	83,5±49,5	6,27±1,90
F02.802	20,04±4,12	10,47±4,15	97,5±53	6,66±2,18
F01.00	20,90±2,98	10,27±3,37	105±46	4,72±2,05
F01.8	17,66±6,20	10,11±3,33	122±59	3,77±2,68
F01.1+F01.3	17,40±6,53	8,30±3,33	188±117	5,12±1,45

[Psychometric indicators of dementia]

Conclusion

Severity of cognitive impairment is increasing in the following order:

1. 1) dementia due to epilepsy;

2. 2) dementia due to brain injury;

3. 3) acute post-stroke dementia;

4. 4) atherosclerotic, vascular dementia unspecified;

5. 5) multi-stroke, mixed cortical and subcortical vascular dementia.

Disorders of frontal functions dominate in the structure of cognitive impairment in all dementias.