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All Journal Lumina: Indonesian Journal of Neurology
Maurensia
Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia

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The Relationship Between Stroke Subtypes and Cognitive Function in Ischemic Stroke Patients at Siloam Hospital Lippo Village Maurensia; Vivien Puspitasari
Lumina : Indonesian Journal of Neurology Vol. 1 No. 1 (2025): April : Lumina : Indonesian Journal of Neurology
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/lijn.v1i1.9856

Abstract

Introduction: Stroke is the second leading cause of death and a major cause of disability worldwide, including in Indonesia, and has an impact on cognitive function. Stroke can be classified based on the Bamford system into: Lacunar Infarct (LACI), Partial Anterior Circulation Infarct (PACI), Posterior Circulation Infarct (POCI), and Total Anterior Circulation Infarct (TACI), each with distinct clinical characteristics and lesion locations. This study aims to analyze the relationship between stroke subtypes and cognitive function in ischemic stroke patients using the MoCA- Ina questionnaire, to understand the clinical symptom differences and predict anatomical lesion sites in ischemic stroke subtypes based on the Bamford classification. Methods: This was a cross-sectional analytical study involving 40 ischemic stroke patients. Data were collected using the MoCA-Ina questionnaire to assess the cognitive function of ischemic stroke patients. Results: There was a significant relationship between stroke subtypes (anterior vs. posterior circulation) and cognitive function in ischemic stroke patients (P-value = 0.000), where patients with anterior circulation involvement showed greater cognitive impairment than those with posterior involvement. Conclusions: There is an association between stroke subtype and cognitive function in ischemic stroke patients at Siloam Hospital Lippo Village, particularly affecting the cognitive domains of language, delayed recall, abstraction, and attention.
The Relationship Between Body Mass Index and The Degree of Dementia in Elderly Patients with Memory Impairment at Memory Clinic Siloam Hospitals Lippo Village Nathan Muliawan; Maurensia; Rocksy Fransisca Situmeang
Lumina : Indonesian Journal of Neurology Vol. 1 No. 2 (2025): August : Lumina : Indonesian Journal of Neurology
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/lijn.v1i2.10285

Abstract

Introduction: Body mass index (BMI) can describe the level of nutrition and vitality of a person. Monitoring BMI values prevents elderlies from various risks of disease, one of which is dementia. The development of neuropathological lesions in the olfactory bulb has been proposed to cause symptoms which affect dementia patients’ appetite and thus resulting in weight loss. Methods: A cross-sectional study was conducted among 55 memory impairment patients from ages ≥65 years at Siloam Hospitals Lippo Village Memory Clinic. Data was obtained using Montreal Cognitive Assessment – Indonesian Version (MoCA-INA) and Clinical Dementia Rating Scale (CDRS) and BMI was measured using Seca 703 instrument. Results: A significant relationship was found between body mass index and the degree of dementia with a value of p = 0.046 for MoCA examination and p = 0.039 for CDRS examination. The results of the analysis shows that underweight-normal (BMI <23kg/m2) patients have 3.8 times (95% CI 1.2-12.5) and 4.6 times (95% CI 1.2-17.0) the risk of having a moderate-severe degree respectively compared to overweight-obese (BMI ≥23kg/m2) patients. Conclusions: Lower late life BMI is related to higher degree of dementia
Co-Authors Nathan Muliawan Rocksy Fransisca Situmeang Vivien Puspitasari