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Clinical Rehabilitation
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Cognitive deficits following stroke in the basal ganglia

Jacqueline Hochstenbach

Sint Maartenskliniek-Research, Nijmegen, The Netherlands

Karel PM van Spaendonck

Medical Psychology, University of Nijmegen, The Netherlands

Alexander R Cools

Department of Psychoneuropharmacology, University of Nijmegen, The Netherlands

Martin WIM Horstink

Neurological Institute, University of Nijmegen, The Netherlands

Theo Mulder

Sint Maartenskliniek-Research, Nijmegen, The Netherlands

Objective: To examine the effect of a stroke in the basal ganglia on cognitive functioning.

Design: As part of a larger prospective study on the neuropsychological and psychosocial consequences of stroke, 12 patients with a stroke confined to the basal ganglia were examined.

Setting: The patients were assessed in one of the three participating hospitals.

Subjects: The results of 12 patients with a stroke in the basal ganglia (mean age 55 years), were compared to 24 controls (mean age 54.3 years).

Main outcome measures: Different aspects of memory, attention and concentration, visuospatial and visuoconstructive functions, language and arithmetic were assessed using neuropsychological tests.

Results: The data show a significant abnormality in cognitive functioning on all cognitive domains.

Conclusions: The results stress the notion that subcortical damage may lead to substantial neuropsychological disorders and have clear implications for neurological rehabilitation.

Clinical Rehabilitation, Vol. 12, No. 6, 514-520 (1998)
DOI: 10.1191/026921598666870672
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