Diagnostic and Prognostic Value of New Quick Tests of Action Slowing in Stroke and in Cognitive Neurodegenerative Disease (QTOAS)

Centre Hospitalier Universitaire, Amiens

Status: Enrolling

Conditions: Alzheimer Disease; Stroke; Dementia Mild Cognitive Impairment; Action Speed

Treatments: Other: quick tests

Study type: Observational

Funder types: Other

Identifiers

NCT05785156

PI2021_843_0082

Details and patient eligibility

About

A large series of recent studies have documented the frequency of the slowing of the action in brain diseases, especially vascular and neurodegenerative diseases. In stroke, the predictive value of action slowing at the acute phase for predicting post-stroke functional outcome remains poorly investigated. In neurodegenerative diseases, the diagnostic relevance of the slowing at the prodromal stage remains unknown and this diagnostic requires new tests. Finally, in terms of anatomical determinants, few studies have studied the determinants of action slowing. The objectives of this project are to Determine the diagnostic and prognostic value of action slowing assessed with new quick tests in patients with acute stroke (Neurovascular Unit) and cognitive neurodegenerative disorders (Alzheimer Disease (AD), Lewy Body disease (LBD), Fronto Temporal lobar degeneration (FTLD), Cortico Basal Degeneration (CBD) and Progressive Supra Nuclear Palsy (PSNP)) and to define the lesion determinants with VBM and VLSM

Enrollment: 129 estimated patients

Sex: All

Ages: 40 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients between 40 and 85 years old,
• French native language,
• Social Security affiliation.
• University Memory Clinic for: Mild severity disorder (MMSE> 19) or major severity disorder related to AD : Albert 2011 criteria ; McKhann 2011
• to MCL according to McKeith criteria
• to FTLD according to Rascovsky 2011 criteria
• BBD according to Armstrong's criteria
• related to PSP according to Höglinger criteria

Exclusion criteria

• Mental retardation or guardianship
• Previously diagnosed dementia
• Other current or past brain condition
• severe head trauma
• epilepsy prior to stroke still requiring previous treatment
• Parkinson disease, multiple sclerosis...
• brain tumor or brain radiation therapy
• Current or past schizophrenia or psychosis
• Active or past psychiatric disorders requiring a stay> 2 days in a specialized environment
• Contra indication to MRI
• Comorbidity with life expectancy <1 year
• Comorbidity affecting cognition in particular:
• Alcohol (> 3 glasses / day) or history of alcohol withdrawal syndrome
• opiate or cocaine addiction or opiate withdrawal syndrome
• renal failure (dialysis or creatinine clearance <30)
• hepatic failure (spontaneous INR> 1.5 or PT <60%)
• respiratory failure requiring oxygen therapy
• heart failure (orthopnea> 2 pillows)
• persistent vigilance disturbances (NIHSS1a score ≤1)
• cancer with paraneoplastic syndrome
• treatment with gold salts, D Penicillamine or other treatment with cognitive effect
• Patient under guardianship or curators or private under public law
• Pregnant and / or lactating wom

Trial design

129 participants in 2 patient groups

acute stroke patients

Treatment:

Other: quick tests

cognitive neurodegenerative disorders

Description:

cognitive neurodegenerative disorders (Alzheimer Disease (AD), Lewy Body disease (LBD), FrontoTemporal lobar degeneration (FTLD), Cortico Basal Degeneration (CBD) and Progressive Supra Nuclear Palsy (PSNP)

Treatment:

Other: quick tests