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Ischemic strokes are one of the leading causes of handicap and death in elderly people in France.
Cognitive reserve (CR) is an active model, defined as a function of lifetime intellectual activities and other environmental factors that explain differential susceptibility to functional impairment in the presence of pathology or other neurological insult. CR is estimated using variables for cognitive activity: years of education, professional status, socioeconomic status… Furthermore, brain reverse (BR) is a passive and quantitative model that depend on brain size and other quantitative aspects of the brain that explain differential susceptibility to functional impairment in the presence of pathology.
Firstly, volume and localization of ischemic strokes have a great impact on CR and BR due to brain injury. On the other hand, CR influences the severity and the expression of cognitive diseases.
The investigators realize a prospective study in order to assess the impact of CR and BR on cognitive prognosis after a right middle cerebral artery ischemic stroke in elderly patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| neurologic and neuropsychological evaluation | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| neurologic and neuropsychological evaluation | Other | cognitive prognosis, cognitive reserve, brain volume will be studied on patients with scale, questionnaire, magnetic resonance imaging |
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of cognitive prognosis | measure will be performed with the Mattis dementia rating scale | one year post Ischemic stroke |
| Measure | Description | Time Frame |
|---|---|---|
| Volume of leucoencephalopathy | measure will be performed with a MRI | one year post Ischemic stroke |
| volume of hippocampic | measure will be performed with a MRI |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pierre Krolak Salmon, MD | Hospices Civils de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital des Charpennes | Lyon | France |
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| ID | Term |
|---|---|
| D002545 | Brain Ischemia |
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| one year post Ischemic stroke |
| brain injury | measure will be performed with a MRI | one year post Ischemic stroke |
| volume of ischemic stroke | measure will be performed with a MRI | one year post Ischemic stroke |
| evaluation of cognitive reserve | measure will be performed with the Cognitive reserve index questionnaire | one year post Ischemic stroke |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D020521 | Stroke |