Visuospatial alterations

  • 文章类型: Journal Article
    多项研究表明,COVID-19后会发生一些认知变化。据报道,视觉空间改变占24%至40%。这些改变可用作神经退行性疾病的早期生物标志物。因此,通过对时钟测试(CDT)和Rey-Osterrieth复杂图(FCRO)的性能进行定量和定性分析,我们可以强调视觉空间过程在认知中的重要性。我们的目标是描述COVID后19患者在视觉空间测试中的表现,具有不同程度的呼吸损害,并对其表现进行定性分析,以检查其与注意力和执行功能变化的关系。这将允许突出CDT和ROCF性能的执行部分,并区分可能有认知障碍的患者。对77例SARS-CoV-2感染患者进行了完整的神经心理学电池和MRI评估(感染后3个月)。总的来说,FCRO和CDT之间存在显着差异,FCRO只有9%的变化,CDT有51.9%的变化。关于观察到的组间相关性(VMInv,VM非I和非住院)波士顿与FCRO拷贝(r=0.497;p=0.001)和FCRO记忆(r=0.429;p=0.001)之间的相关性最高。按严重程度比较组间的表现,仅在TMTA(13.706p=0.001)和B(9.583p=0.008)测试以及语音流利度字母A(13.445p=0.001)中观察到显着差异,我们观察到非住院患者组的表现更好.神经心理缺陷通常通过影响学习和适应能力而直接影响日常生活。因此,对于COVID-19后患者的神经心理学表征,一个有用的策略是结合视觉空间能力和执行功能进行定性分析,而这是无法单独分析的.
    Several studies indicate that some cognitive changes occur after COVID-19. Visuospatial alterations have been reported in 24-40 %. These alterations may be useful as early biomarkers of neurodegenerative disease. Thus, we can emphasize the importance of visuospatial processes in cognition through quantitative and qualitative analysis of performance on the Clock Test (CDT) and the Rey-Osterrieth Complex Figure (FCRO). Our objective was to describe the performance of post COVID 19 patients in visuospatial tests, with different degrees of respiratory impairment and to perform a qualitative analysis of the performance to check its relationship with alterations in attention and executive functions. This will allow highlighting the executive component of the performance of the CDT and ROCF and differentiate patients with possible cognitive impairment. 77 patients with SARS-CoV-2 infection were evaluated (3 months post-infection) with a complete neuropsychological battery and MRI. Overall, there is a significant difference between FCRO and CDT, with FCRO having only 9 % change and CDT having 51.9 % change. Regarding the correlations observed between groups (VM Inv, VM non I and non hospitalized) the highest correlations were observed between Boston with FCRO copy (r=0.497; p=0.001) and with FCRO memory (r=0.429; p=0.001). Comparing the performance between groups by severity, significant differences were observed only in the TMT A (13.706 p=0.001) and B (9.583 p=0.008) tests and in the phonological fluency letter A (13.445 p=0.001), we observed that the group of non-hospitalized patients had a better performance. Neuropsychological deficits often have a direct impact on daily life by affecting the ability to learn and adapt. Thus, a useful strategy for the neuropsychological characterization of post-COVID-19 patients is the qualitative analysis of visuospatial abilities in conjunction with executive functions that cannot be analyzed in isolation.
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  • 文章类型: Case Reports
    修订6例患儿年龄诊断为Williams-Beuren综合征(SWB)的病史。所有患者均表现出特征性的精灵相和心血管异常。都表现出良好的视力,除了一例单侧弱视。最常见的屈光不正是远视(n=6;100%)和散光(n=5;83.3%)。2例眼动力改变(1例右下斜肌功能亢进和1例先天性内斜视伴双侧下斜肌功能亢进)。关于认知功能,66.7%(n=4)患有视觉感知障碍。其他发现是内表膜炎(n=6;100%)和先天性鼻泪管阻塞伴单侧泪滴(n=1;16.7%)。SWB是一种罕见的疾病,具有复杂的眼科和全身性表现。出于这个原因,建议对这些儿童进行眼科随访。
    Medical history of 6 patients diagnosed with Williams-Beuren Syndrome (SWB) in pediatric age was revised. All the patients presented characteristic elf facies and cardiovascular abnormalities. All presented good visual acuity, except one case of unilateral amblyopia. The most frequent refractive error was hyperopia (n = 6; 100%) and astigmatism (n = 5; 83.3%). Ocular motility alterations were found in 2 patients (1 case of exophoria with hyperfunction of right inferior oblique and another of congenital endotropia with bilateral hyperfunction of inferior oblique). On the cognitive function, 66.7% (n = 4) had visoperceptive disorders. Other findings were epicanthus (n = 6; 100%) and congenital obstruction of the nasolacrimal duct with unilateral epiphora (n = 1; 16.7%). SWB is a rare disorder with complex ophthalmological and systemic manifestations. For this reason, ophthalmological follow-up of these children is recommended.
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