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Both VCIND and VaD are considered part of the spectrum of vascular cognitive impairment (VCI). Vascular cognitive impairment with no dementia (VCIND) is even more prevalent in post-stroke patients, with a reported rate of 47.7%. Post-stroke dementia includes vascular dementia (VaD) among others. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist.Ĭognitive deficits are common after stroke with 10% of patients developing dementia after their first-ever stroke and more than 30% had dementia after recurrent stroke. Dong was a recipient of the NUHS National Clinician Scientist Program award during this study. He can be contacted at the Memory Ageing and Cognition Center, Department of Pharmacology, Yoo Loo Lin School of Medicine, National University Health System, Singapore.įunding: This study is funded by a Center Grant (NMRC/CG/NUHS/2010) from the National Medical Research Council ( ). Christopher Li-Hsian Chen (email: who is acknowledged as a co-author in this study. Interested researchers may request access to the data in writing to Dr. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: Because participants did not consent to have the data released publicly, the data underlying this study are available upon request. Received: JAccepted: FebruPublished: March 27, 2017Ĭopyright: © 2017 Tan et al. PLoS ONE 12(3):Įditor: Masaki Mogi, Ehime University Graduate School of Medicine, JAPAN (2017) Decline in changing Montreal Cognitive Assessment (MoCA) scores is associated with post-stroke cognitive decline determined by a formal neuropsychological evaluation. Even something as simple and easily treatable as a urinary tract infection can cause alarming cognitive changes.Citation: Tan HH, Xu J, Teoh HL, Chan BP-L, Seet RCS, Venketasubramanian N, et al. There are many TREATABLE health conditions that could cause these types of symptoms, which is why it’s so important to see a doctor and find out the true cause of the issue. What the score means is that someone needs to be evaluated for any potential cognitive issues. This is a screening test only and MUST be interpreted by a doctor. No, it absolutely does not mean that someone has Alzheimer’s or dementia.
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For more information, see How We Make Money. This article wasn’t sponsored and doesn’t contain affiliate links. Sources: MoCA, Wikipedia, Today’s Geriatric Medicine Testing for Dementia: Why the Mini Mental Status Exam Isn’t Enough for Diagnosis.The Mini Mental Status Exam: A Dementia Screening Tool.SAGE Test: 15 Minute At-Home Test for Alzheimer’s.Next Step Find out how the Mini Mental Status Exam (MMSE) works After the initial screening, more testing would be needed. They also can’t be used to distinguish between conditions.įor example, you couldn’t use either test to diagnose someone with Alzheimer’s disease versus frontotemporal dementia.
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They’re both initial screening tests that are used to determine whether further cognitive testing is needed. Traumatic brain injury (often from falls)Įven though these are good screening tools for cognitive impairments, neither test was designed to diagnose cognitive conditions.The MoCA has also been shown to be a better screening tool for conditions like: So, if a doctor sees a patient who is questioning their mental functioning, they might give the MoCA test.īut if a patient comes in and is clearly cognitively impaired, a very sensitive test wouldn’t be as necessary since the issues are more obvious. The MoCA is generally better at detecting mild impairment and early Alzheimer’s disease because it’s a more sensitive test and is more challenging. The MoCA looks similar to the MMSE, but the MoCA tests a variety of different cognitive functions and the MMSE focuses mostly on memory and recall. Executive functions – ability to manage cognitive processes.Ability to process and understand visual information about where objects are.The MoCA usually tests these cognitive areas: The Montreal Cognitive Assessment (MoCA) is a one page, 30 point test that takes about 10 minutes. How the Montreal Cognitive Assessment (MoCA) works