4 MoCA is a 1-page, 30-point test, administrable in ≈10 minutes, which evaluates different domains: visuospatial abilities, executive functions, short-term memory recall, attention, concentration, working memory, language, and orientation to time and space ( Figure). The Montreal Cognitive Assessment (MoCA) is a brief screening instrument originally designed to identify MCI in elderly patients attending a memory clinic. In fact, a cognitive evaluation is not a part of the routine assessment of patients with acute stroke in most centers, and items assessing cognitive functions are poorly represented in the most widely used acute stroke scales. 3 Ideally, cognitive evaluation of patients with stroke should start early after the event, but this may be difficult. 2 A meta-analysis showed that 10% of patients had dementia before first stroke, 10% developed dementia soon after first stroke, and more than a third had dementia after recurrent stroke. 1 Almost two thirds of these patients are affected by mild cognitive impairment (MCI). More than 40% of stroke survivors are found with cognitive impairment (poststroke cognitive impairment ) sometime after the event. Customer Service and Ordering Information.Stroke: Vascular and Interventional Neurology.Journal of the American Heart Association (JAHA).Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB).
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