Correlation between cognitive status and tomographic findings in patients with neurocysticercosis. Ecuador, 2019 – 2020
<p><strong>Background</strong>: Many patients with neurocysticercosis manifest cognitive damage, with important effects on their quality of life.<br /><strong>Objective</strong>: to determine the correlation between cognitive status and tomographic findings in pat...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2022-05-01
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| Series: | Medisur |
| Subjects: | |
| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5238 |
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| Summary: | <p><strong>Background</strong>: Many patients with neurocysticercosis manifest cognitive damage, with important effects on their quality of life.<br /><strong>Objective</strong>: to determine the correlation between cognitive status and tomographic findings in patients with neurocysticercosis.<br /><strong>Method</strong>: 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&lt;0.05. For the multivariate analysis, a binary logistic regression model was used.<br /><strong>Results</strong>: 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.<br /><strong>Conclusion</strong>: 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</p> |
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| ISSN: | 1727-897X |