I had zilch executive dysfunction prior to my stroke, unless you call going on a very challenging/dangerous whitewater canoeing trip dysfunctional.
My executive functions are working perfectly now so I should be in no danger of having another stroke. Except some people question my luging incident or my biking incident as signs of dysfunction. I call that living.
Executive dysfunction is a strong stroke predictor
Oveisgharan S, et al. J Neurol Sci. 2015.
Abstract
BACKGROUND: Although
stroke is known to result in executive dysfunction, little is known
about executive dysfunction as a risk factor for stroke.
METHODS: Canadian
Study of Health and Aging (CSHA), a longitudinal population based study
of elderly Canadians, was conducted in three waves in 1990-1991
(CSHA-1), 1995-1996 (CSHA-2), and 2001-2002 (CSHA-3). In a
cross-sectional analysis on CSHA-1 subjects, any association between
stroke history and cognitive function was studied. In a prospective
analysis, CSHA-1 stroke-free subjects were followed to CSHA-2 to see if
there was any difference in stroke incidence among subjects with
different baseline cognitive status. And, in a validation study CSHA-2
stroke-free subjects were followed to CSHA-3 to see if the prospective
analyses findings could be replicated.
FINDINGS: In
the cross-sectional analysis, subjects who had stroke in their history
had significantly lower executive function, not memory function, scores
than subjects without any stroke in their history. In the prospective
and validation studies, stroke incidence was affected by neither
executive nor memory scores. When the analysis was restricted to normal
cognition subjects, lower executive function, not memory function,
scores predicted stroke incidence, and remained significant after
controlling for stroke risk factors.
CONCLUSION: We
found executive dysfunction to be a powerful stroke risk factor among
cognitively normal subjects. Testing for executive dysfunction may help
identify individuals at risk for stroke in time to prevent them.
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