Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

diagnóstico cognitivo

 

Electroencefalografía Cuantitativa y Evaluación Neuropsicológica en el Diagnóstico del Deterioro Cognitivo en Adultos Mayores Ecuatorianos Quantitative Electroencephalography and Neuropsychological Assessment in the Diagnosis of Cognitive Impairment in Older Ecuadorian Adults

Objective: To evaluate the usefulness of quantitative electroencephalography (qEEG) and neuropsychological assessment in the diagnosis of cognitive impairment in Ecuadorian older adults.

Patients and method: Twelve older adults from the Cuenca canton with suspected cognitive impairment were selected. Neuropsychological tests (Neuropsi and Mini-Mental State Examination) were applied and EEG recordings were performed and analyzed using Persyst software. Average voltage amplitude values of brain waves (alpha, beta, theta and delta) and heat maps were obtained to identify specific patterns.

Results: Neuropsychological tests detected significant deficiencies in executive functions, memory and attention, with greater impairment in patients with Alzheimer’s. EEG analysis showed a generalized slowing of the basal rhythm, predominance of slow waves (theta and delta) and decreased alpha frequency (<8 Hz) in occipital and frontal regions. A significant correlation was found between cognitive deficits and EEG alterations.

Conclusions: The combination of qEEG and neuropsychological assessment offers a comprehensive tool for the early diagnosis of cognitive impairment, allowing for personalized therapeutic strategies. These findings reinforce the relevance of accessible and noninvasive methods in the care of older adults in resource-limited settings.

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