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CITE EMAIL PRINT SHARE
COGNITIVE SEQUELAE OF HYPOXIC-ISCHEMIC BRAIN INJURY: A REVIEW

Issue title: Hypoxic-Ischemic Brain Injury

Guest editors: David B. Arciniegasxy

Article type: Research Article

Authors: Anderson, C. Alana; b; c; * | Arciniegas, David B.a; b; c; d

Affiliations: [a] Behavioral Neurology Section, Department of Neurology,
University of Colorado School of Medicine, Denver, CO, USA | [b] Neurobehavioral
Disorders Program, Department of Psychiatry, University of Colorado School of
Medicine, Denver, CO, USA | [c] Denver Veterans Affairs Medical Center, Denver,
CO, USA | [d] Brain Injury Rehabilitation Unit, HealthONE Spalding
Rehabilitation Hospital, Aurora, CO, USA | [x] Brain Injury Rehabilitation Unit,
HealthONE Spalding Rehabilitation Hospital, Aurora, CO, USA | [y]
Neurobehavioral Disorders Program, University of Colorado Denver, Aurora, CO,
USA

Correspondence: [*] Address for correspondence: C. Alan Anderson, M.D.,
Department of Neurology, University of Colorado Denver, Mail Stop B182, 12700 E.
19th Avenue, Room 5C03, Aurora, CO 80045, USA. Tel.: +1 303 393 2874; Fax: +1
303 393 4686; E-mail: al.anderson@ucdenver.edu

Abstract: Despite improvements in the pre-hospital and critical care management
of persons with hypoxic-ischemic brain injury (HI-BI) and the conditions with
which it is associated, acute and chronic cognitive impairments remain problems
for many survivors of such injuries. Disorders of consciousness, attention,
speed of processing, and memory impairments, and executive dysfunction are among
the most prominent and common disturbances of cognition after HI-BI. Acute
interventions, including therapeutic hypothermia, may improve global outcomes
after HI-BI, but their specific effects on post-hypoxic cognitive impairments
remain uncertain. Additionally, treatments for cognitive impairments after HI-BI
are underdeveloped and are generally arrived at by analogy to the treatment of
such problems arising from other neurological conditions, especially traumatic
brain injury. In the service of offering a practical approach to the evaluation
and care of persons with cognitive impairments after HI-BI, the most common
types of post-hypoxic cognitive impairments are reviewed. Cognitive outcomes
after HI-BI are discussed and suggestions for the nonpharmacologic and
pharmacologic neurorehabilitation of these problems are offered.

Keywords: Hypoxic-ischemic, anoxic, brain injury, cognition, attention, memory,
executive function

DOI: 10.3233/NRE-2010-0535

Journal: NeuroRehabilitation, vol. 26, no. 1, pp. 47-63, 2010

Published: 28 January 2010
Price: EUR 27,50
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WE RECOMMEND

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 3. Cognition and return to work after mild/moderate traumatic brain injury: A
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    Karthik Mani et al., Work, 2016
 4. Cognitive functioning following traumatic brain injury: The first 5 years
    Marsh et al., NeuroRehabilitation
 5. Accommodating individuals with traumatic brain injury: An analysis of
    employer-initiated cases handled by the job accommodation network
    Hendricks, D.J. et al., Work, 2017

 1. Biological nano agent produced by hypoxic preconditioning stem cell for
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 3. Enhanced treatment for cerebral ischemia-reperfusion injury of puerarin
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    Wei Liu et al., Nano Research, 2021
 4. Neuroimaging-based clinical tools for brain disorders
    Jixin Liu et al., Brain Science Advances, 2021
 5. Cognitive impairment and its association with circulating biomarkers in
    patients with acute decompensated heart failure
    Ying-Chang Tung et al., Journal of Geriatric Cardiology, 2022

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