Analysis of Montreal Cognitive Assessment and Minimental State Examination in Patients with Mild Traumatic Brain Injury
Journal Title: International Journal of Neurology and Neurosurgery - Year 2018, Vol 10, Issue 3
Abstract
Background: 5209 of patients may have persistent symptoms including cognitive deficits following mild traumatic brain in6ury (mTBI). The Montreal Cognitive Assessment (MOCA) is a simple tool specifically designed to screen for mild cognitive impairment. Obective: To compare MOCA with the commonly used Mini Mental Status Examination (MMSE). Setting: The study was conducted at the institute of neurosurgery, Madras Medical College from April to June 2017. Subects: A nonrandomi@ed cohort of 50 patients presenting to the trauma ward with an antecedent history of trauma to the head (irrespective of cause). Results: A total of 28 patients were deemed to have cognitive impairment by the MOCA, 8 patients were deemed to have cognitive impairment by the MMSE representing a highly significant difference (p value A0.01). Both the scores agreed in a total of 30 cases, of which 22 cases were deemed to have no cognitive impairment by both tests and 8 patients were deemed to have cognitive impairment by both tests. Of particular importance is that no patient found to be cognitively impaired by the MMSE was deemed normal by the MOCA. Conclusion: The number of patients being categori@ed as being cognitively impaired by the MOCA, while being higher than that of the MMSE, conforms more to the pattern of cognitive deficits that are currently seen in patients with mTBI. MOCA may be superior to the MMSE to detect mild cognitive deficits in the setting of neurotrauma and at the very least maybe used in its stead.
Authors and Affiliations
G. Vidyasagar
Keywords
Related Articles
- EP ID EP562201
- DOI 10.21088/i6nns.0975.0223.10318.2
- Views 80
- Downloads 0
Study on Clinical Profile and Triggers of Pediatric and Adolescent Migraine
Background: Migraine tops among the recurrent primary headaches in children and adolescents. Characteristics of migraine in children and adolescents differ significantly from adults. Migraine attacks are precipitated by...
Prevalence of Neurological Disorders and Utilization of Health Services in A Subcenter Area in Udupi Taluk
Introduction: Recognizing the magnitude of neurological disorders and the disabilities associated with it in the community is the first step towards integration of neurology care with general health care. Increase in neu...
Evolution of Post Traumatic Acute Thin SDH into Sub acute or Chronic SDH: Analysis of Symptomatology, Risk Factor and Outcomes
Introduction: The natural course of post traumatic acute thin SDH is different among various patients. Most thin SDH resolve spontaneously, a few progress into chronic subdural hematomas requiring surgical treatment. The...
Diffuse Axonal Injury: An institute Experience
Introduction: Traumatic Brain Injuries are among the leading cause of mortality and morbidity world over. They are the leading cause of death among the younger age groups accounting for several indirect social and econom...
Management of Tuberculosis Spine: Our Institute Experience
Background: Tuberculosis is a very common disease affecting the impoverished and is a source of morbidity causing significant burden to the society. Involvement of the spine is fairly common and it causes significant dis...