CAUSES OF EARLY-ONSET DEMENTIA IN A TERTIARY REFERRAL CENTER IN ISTANBUL

6th International Conference on Alzheimers Disease and Related Disorders in the Middle East -- OCT 25-27, 2013 -- Istanbul, TURKEYWOS: 000328655700033

COGNITIVE IMPAIRMENT IN NEUROSYPHILIS: ALZHEIMER'S DISEASE-LIKE PATTERN?

6th International Conference on Alzheimers Disease and Related Disorders in the Middle East -- OCT 25-27, 2013 -- Istanbul, TURKEYWOS: 000328655700062

The effects of cognitive rehabilitation on relapsing remitting multiple sclerosis patients

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Introduction: The aims of this study were to determine the severity of cognitive impairment with Brief Repeatable Battery Neuropsychology (BRB-N) and to show the benefits of cognitive rehabilitation programs to develop coping strategies for the retardation of cognitive losses in relapsing remitting multiple sclerosis (RRMS) patients. Methods: The cognitive screening with BRB-N was performed in RRMS patients who had applied to the MS outpatient clinic of Bakırköy Psychiatric and Neurological Diseases Hospital, had an Expanded Disability Status Scale (EDSS) score between 1.0 and 5.5, and had no other cognitive disease or used drugs that effected the cognitive status. Thirty two patients with cognitive impairment underwent consecutive computer-assisted cognitive rehabilitation program once a week for 8 weeks conducted by psychologists. The effects of the program were evaluated with the tests repeated every 4 weeks.Amaç: Relaps ve remisyonla seyreden multipl skleroz (RRMS) olgularında Brief Repeatable Battery Neuropsychology (BRB-N) ile kognitif bozukluk şiddetinin belirlenerek, bilişsel kayıpların yavaşlatılması ve başa çıkma stratejileri geliştirilmesi için yürütülen kognitif rehabilitasyon programlarının faydalarının gösterilmesi amaçlanmıştır. Yöntem: Bakırköy Ruh ve Sinir Hastalıkları Hastanesi MS polikliniğine başvuran RRMS tanısı almış, Expanded Disability Status Scale (EDSS) 1,0-5,5 arasında, kognitif durumunu etkileyecek hastalığı ya da ilaç kullanımı olmayan hastalara BRB-N ile kognitif tarama yapılmıştır. Kognitif bozukluk saptanan 32 hasta, ardışık 8 hafta süresince haftada 1 kez psikolog eşliğinde bilgisayar destekli kognitif rehabilitasyon programına alınmış; 4 hafta arayla tekrarlanan testlerle kognitif rehabilitasyon programının etkileri değerlendirilmiştir