Impact of stenting at the origin of vertebral artery on cognitive function in patients with first-onset temporal or thalamic infarction
- VernacularTitle:椎动脉起始部支架置入术对首发颞叶或丘脑梗死患者认知功能的影响
- Author:
Yaozhi HU
1
;
Shanshan CUI
;
Ligong ZHANG
;
Linzhi GAO
Author Information
- Keywords: vertebral artery stent; origin of vertebral artery; temporal lobe infarction; tha-lamic infarction; cognitive function
- From: Journal of Clinical Medicine in Practice 2024;28(13):67-71
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the impact of stenting at the origin of vertebral artery(VAO)on cognitive function in patients with first-onset temporal or thalamic infarction.Methods A total of 65 patients with first-onset temporal or thalamic infarction were selected as research subjects,and were diagnosed with new-onset infarction in the medial temporal lobe or thalamus by craniocere-bral magnetic resonance imaging(MRI),and severe stenosis of VAO as the responsible vessel for in-farction was confirmed by head and neck computed tomography angiography(CTA).A total of 35 pa-tients who received VAO stenting were included in the stenting group,and 30 patients who received drug-based conservative treatment were included in the control group.The Montreal Cognitive Assess-ment Scale(MoCA),Wechsler Adult Intelligence Scale-Digit Span Test(WAIS-DS),and Fuld Ob-ject Memory Evaluation Scale(FOM)scores were compared between the two groups before treatment,14 days and 3 months after treatment.Results Before treatment,there was no significant difference in the scores of each scale between the two groups(P＞0.05).At 14 days and 3 months after treat-ment,the total MoCA score and the scores of visual space and executive function,delayed recall,and language dimension in the stenting group were higher than those in the control group(P＜0.05).The FOM score in the stenting group was higher than that in the control group at 3 months after treat-ment(P＜0.05).Conclusion Stenting can significantly improve the cognitive function of patients with temporal lobe and thalamic infarction.
