Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

J. M. Montaño-Lozada, Norman López, L. M. Espejo-Zapata, Marcio Fernando Soto Añari, Miguel Ramos-Henderson, Nicole Caldichoury-Obando, Loida Camargo

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective: To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology: One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results: Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion: Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation.

Original languageEnglish
Article number108158
JournalEpilepsy and Behavior
Volume122
DOIs
StatePublished - Sep 2021
Externally publishedYes

Bibliographical note

Funding Information:
The authors would like to thank Dr. Lina Marcela Tascon Calderon, Dr. Maria Alejandra Mendoza Ospina and Dr. Jonathan Jay Williams, paper translators, as well as the participation and reception of patients of this study.

Publisher Copyright:
© 2021 Elsevier Inc.

Keywords

  • (MoCA) Test
  • Cognitive dysfunction
  • Epilepsy
  • Mental impairment
  • Short cognitive tests

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