Memory trajectories before and after stroke reveal a causal role of stroke in the progression of cognitive decline

Takeaway

  • European adults aged ≥50 years experience acute decreases, but not accelerated declines, in memory following first and recurrent strokes.

Why this matters

  • To date, there is inconsistent data on the trajectory of memory changes after incident and recurrent stroke. This large multi-country European analysis reports acute decreases in memory following a stroke, with better endovascular treatment linked to less memory loss.

  • The findings highlight the importance of early assessment and intensive prevention of stroke among the general aging population, and the need for access to stroke unit care especially endovascular treatment in people with stroke. Such strategies could lessen memory decline and subsequent dementia burden in stroke survivors.