Cognitive Impairment: An Extremely Common, yet Underestimated Aftermath of Stroke

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Cognitive Impairment: An Extremely Common, yet Underestimated Aftermath of Stroke
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More than half of stroke survivors develop cognitive impairment within a year; screening may help detect cognitive impairment, according to a new American Heart Association scientific statement. More than half of people who survive a stroke develop cognitive impairment within the first year aft

The American Heart Association warns that over half of stroke survivors may develop cognitive impairment within a year and a third could face dementia within five years. Early, consistent screening and intervention are crucial, while further research is needed to develop targeted and culturally appropriate treatments.

Cognitive impairment after stroke may fluctuate, particularly during the first 6 months after the stroke. “Cognitive impairment is an often under-reported and under-diagnosed — yet very common condition that stroke survivors frequently deal with,” said Nada El Husseini, M.D., M.H.Sc., FAHA, chair of the scientific statement writing committee and an associate professor of neurology at Duke University Medical Center in Durham, North Carolina. “Stroke survivors should be systematically evaluated for cognitive impairment so that treatment may begin as soon as possible after signs appear.

Up to 20% of stroke survivors who experience mild cognitive impairment fully recover cognitive function, and cognitive recovery is most likely within the first 6 months after a stroke.

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