Meu SciELO
Serviços Personalizados
Artigo
Indicadores
- Citado por SciELO
Links relacionados
- Similares em SciELO
Compartilhar
MediSur
versão On-line ISSN 1727-897X
Resumo
ANAYA GONZALEZ, Jorge Luis; LOPEZ-MUNOZ, Francisco; CARMONA ALVAREZ-BUILLA, Erlen e MINIET CASTILLO, Adriana Edit. Correlation between cognitive status and tomographic findings in patients with neurocysticercosis. Ecuador, 2019 - 2020. Medisur [online]. 2022, vol.20, n.3, pp. 409-419. Epub 30-Jun-2022. ISSN 1727-897X.
Background
Many patients with neurocysticercosis manifest cognitive damage, with important effects on their quality of life.
Objective
to determine the correlation between cognitive status and tomographic findings in patients with neurocysticercosis.
Method
correlational, prospective and cross-sectional study, which included 93 patients diagnosed with neurocysticercosis treated in two Ecuadorian hospitals, from May 2019 to May 2020. The Folstein Mini-Mental State Examination was used for cognitive assessment. The relative risk and the Chi square test were estimated, considering statistical significance if p<0.05. For the multivariate analysis, a binary logistic regression model was used.
Results
among the tomographic findings, lesions greater than 1 cm (32.2%), multiple (30.1%), located in the parietal region (34.4%) and subarachnoid (46.2%) enhance. The cognitive evaluation showed normal results in 74.2% of the cases, as well as mild to moderate dementia in 9.7% of the patients. The most affected area was the language (54.8%). Dementia was mainly associated with lesion size greater than 1 centimeter [RR: 7.35; 95% CI: 1.62-33.3], followed by the number of lesions (multiple or racemose) and the mixed topography. In the multivariate analysis, these lost the correlation.
Conclusion
The cognitive deficit had a lower prevalence than that described in the specialized literature, and was associated with tomographic variables such as the size, number and location of the lesions; in multivariate analysis, none of these factors maintained their statistical significance.
Palavras-chave : Neurocysticercosis; neuroimaging; dementia; mental status and dementia tests.