22. European Stroke Conference 430 Behavioral disorders and post-stroke dementia Assessing the prevalance, impact and clinical awareness of Post-stroke Sexual Dysfunction M.P. Maddula1, T Palmer2, A Shetty3, S Munshi4 Nottingham University Hospitals NHS Trust, Nottingham, UNITED KINGDOM1, Nottingham University Hospitals NHS Trust, Nottingham, UNITED KINGDOM2, Nottingham University Hos-pitals NHS Trust, Nottingham, 3, Nottingham University Hospitals NHS Trust, Nottingham4 BACKGROUND: Post-stroke sexual dysfunction is widespread and often under-recognised. The consequences of the stroke together with the change in sexuality and resultant intimacy may have a negative impact on the personal lives of stroke survivors. We aimed to evaluate patient’s perspective on sexual dysfunc-tion, and how good we were at providing advise to stroke and TIA patients about sexual function. METHODS: Stroke or TIA survivors who were pre-morbidly sexually active were interviewed, and underwent assessment of function (Barthel Index and modified Rankin scale), fatigue (fatigue severity scale), depression (Brief Assessment Schedule for Depression Cards), drug history, type and severity of stroke. We enquired about the sexual problems encountered by patients and whether they had re-ceived advise from clinical staff. RESULTS: Post-stroke sexual dysfunction was prevalent in more than 50% of patients who were previosuly sexually active. Common causes of post-stroke sexual dysfunction were found to be altered sensa-tion, effect of drugs, altered mood, or limited mobility. Most patients did not receive advise from medical or nursing staff about sexual function. More than half of the patients wanted their doctor or nurse to pro-actively discuss the issue of sexual function with them, and did not feel embarrassed by it. CONCLUSIONS: Post-stroke sexual dysfunction is common, multi-factorial in nature, and may have a significant im-pact on the lives of patients. In addition, patients do not appear to be receiving much advise on sexu-al dysfunction from clinical staff. 514 © 2013 S. Karger AG, Basel Scientific Programme 431 Behavioral disorders and post-stroke dementia A PROFILE OF COGNITIVE DECLINE IN PATIENTS AT 12 MONTHS AFTER ISCH-EMIC STROKE N.S. Petrova1, M.R. Raycheva2, S. Меhrabian, L.D. Traykov4 Multi Special Hospital Active Treatment; Inpatient Ward of Vascular Neurology, Ruse, BULGARIA1, Department of Neurology, “Alexandrovska” Hospital, Medical University, Sofia, BULGARIA2, Department of Neurology, “Alexandrovska” Hospital, Medical University, Sofia, BULGARIA3, Department of Neurology, “Alexandrovska” Hospital, Medical University, Sofia, BULGARIA4 Background and Purpose: Cognitive deficits may significantly worsen the quality of life after stroke. The aim of this study was to examine the pattern of neuropsychological impairment in patients at 12 months after an ischemic stroke, utilising a neuropsychological battery assessing global cognitive functioning, memory, attention and executive functions. Methods: Over the period of 20 months among 1176 patients who were hospitalized in the ward of vascular neurology in MHAT Ruse with a diagnosis of ischemic stroke, 66 that met the inclusion criteria were included in the study. The functional, clinical, and cognitive status of the patients were evaluated at the time of hospitalization – 5-th day; 1-st month, 6 month and 12 months later with NIHSS, MMSE, Isaacs’ Set Test (IST), Trail Making Test-A (TMT-A) and Trail Making Test–B (TMT-B). All patients were divided into two groups: with vascular cognitive impairment (VCI), and without VCI, based on the TMT-A test. It gave information about the psychomotor speed and attention where a speed of 70 seconds or be-low was regarded as normal. Results: Out of all 66 patients included in the study, 46 (69%) had VCI at 5 days after stroke.The results from our analyses do not show a significant difference between the two groups regarding the MMSE results. Regarding the tests, which evaluate the different aspects of attention and higher executive functions of the brain, the comparison between the two groups shows a significant difference on the TMT-B test, as well as on the IST for verbal fluency. Conclu-sion: The results from our study show that the leading type of cognitive deficit in patients with VCI is the dysexecutive syndrome. The cognitive deficit in this group is dominated by dysfunctioning in the attention controlling systems, fast switch over between different cognitive schemes, and a good judgement of the quality and order of one’s thought process. Our investigation shows weak progress of these executive dysfunctions after the acute first month period following the stroke.
Karger_ESC London_2013
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