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STUDY OF UNILATERAL SPATIAL NEGLECT IN PARKINSON'S PATIENTS

100%

Ahmadou T. M. , Salim E.-M. M. , Moussa T. D. , Ghita A. , Faouzi B. M. , Touhami Ahami A. O.

Acta Neuropsychologica

2021

tom 19(2)

219-229

In Africa, few studies are interested in unilateral spatial neglect (NSU) in Parkinson's disease. However, this syndrome is a deficit to detect, respond to or orientate towards meaningful stimuli (Heil- man, KM 1973), observable after an injury affecting the non-dominant hemisphere for language. The significant handicap it entails justifies the need for early diagnosis and care. The NSU study is mo- tivated by its link with neurocognitive phenomena that are important on the theoretical level (attention, visuospatial and perceptual awareness). The objective is to study USN in Parkinson's pa tients, followed and hospitalized at the Neurology Department of Hassan II University Hospital in Fez. The visual-graphic test that has been used to detect this pathology is that of Bell's test. The test focuses on the detection of targets placed among several stimuli on a sheet of A4 paper. The material included 120 people: 60 Parkinsonian patients: 34 men (56,7%), and 26 women (43,3%) and 60 control subjects: 34 men (56,7%), and 26 women (43,3%). The groups were matched by age and sex. Different aspects of neglect have been observed throughout the Bell's test. It was found that total omission of bell figures was significantly influenced by age, being less frequent in the 35-49 age group in both groups, and higher in the elderly (50-80 years), as well the level of education. It have been reduced considerably with the increase in education. The hand used and the laterality had no effect; t = 3.76 degrees of freedom (df) = 108.27 and p = 0.000. Unilateral spatial neglect has a negative effect in subjects with Parkin- son's disease. It deserves to be systematically sought for a better clinical evaluation and therapeutic management of the patients.

Assessment of the quality of life in Moroccan Parkinson’s patients

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Ahmadou T. M. , Hanae B. , Ghita A. , Moussa T. D. , Camara D. , Mariam J. , Naima C. , Faouzi B. M. , Touhami Ahami A. O.

Acta Neuropsychologica

2020

tom 18(1)

67-76

Parkinson’s disease can lead to disability and reduce the quality of life of its patients. The purpose of this study is to evaluate the quality of life of a group of people with Parkinson’s disease. The clinical and progressive characteristics of the disease, its motor and neuropsychological impact were evaluated in each Parkinsonian subject included in the study. A quality of life assessment was performed and collected from 60 Parkinsonian patients followed and hospitalized at Hassan II University Hospital in Fez. Different instruments were used, the Hoenh and Yahr scale and the Parkinson’s disease questionnaire (PDQ-39) UPDRS engine, MMS, clinical fact sheet. According to our results, through the different tests and scale of evaluation, we observed an impaired quality of life in the areas of physical discomfort, cognitive disorder, activity of daily living, mobility, and emotional well-being, especially in patients with duration of evolution more than 5 years. There was no significant difference between the two sexes. In addition, the severity of the disease tended to give the impression of an impaired quality of life with respect to the dimensions of activities of daily living and cognition, which is relevant to improving the quality of life patient life and clinical interventions.