The effects of computer-aided cognitive rehabilitation combined with virtual reality technology on event-related potential P300 and cognitive function of patients with cognitive impairment after stroke.

OBJECTIVE: The aim of this study was to explore the effects of computer-aided cognitive rehabilitation (CACR) combined with virtual reality (VR) technology on event-related potential P300 and cognitive function in patients with cognitive impairment after stroke. PATIENTS AND METHODS: Clinical data from 94 patients with post-stroke cognitive impairment, admitted to our hospital from January 2020 to March 2023, were retrospectively analyzed. Of them, 45 patients received routine rehabilitation training (Control group), and 49 patients received CACR combined with VR technology (Observation group). Cognitive rehabilitation status, event-related potential P300 examination status, biochemical indices levels, and daily living activity scores of the two groups were evaluated and compared. RESULTS: After treatment, cognitive function significantly improved in the Observation group compared to the Control group. The amplitude of P300 in the Observation group was significantly higher, and the latency was significantly lower compared to the Control group. The levels of brain-derived neurotrophic factor (BDNF) in the Observation group were significantly higher (p<0.05), while the levels of cystatin C (Cys-C) and neuron-specific enolase (NSE) were significantly lower than those in the Control group (p<0.05 each). Patients in the Observation group demonstrated a significantly higher ability to perform daily living activities compared to the Control group (p<0.05). CONCLUSIONS: Compared with conventional rehabilitation training, the combination of CACR and VR technology in the treatment of stroke-induced cognitive impairment is more effective in improving patients' cognitive function, regulating BDNF, Cys-C, and NSE levels, and enhancing patients' ability to perform daily living activities.

[Manifestations of fluorescein angiography in choroidal melanoma].

This paper reported on the manifestations of fundus fluorescein angiography in 21 patients with choroidal melanoma. According to the findings of fluorescein angiography, we suggest that this disease can be classified into 3 types: type I shows hyperfluorescent mottles (12 cases); type II shows hyperfluorescent spots and patches, (4 cases); type III shows a dark area in the tumor body, (5 cases). The angiographic characteristics of the three types of melanoma and their histopathologic changes are discussed. The differential diagnosis of the three types of melanoma from metastatic choroidal carcinoma, senile macular degeneration with subretinal hemorrhage and choroidal hemangiomas is discussed. For the first time choroid melanoma has been classified into 3 types according to fluorescein angiography. It may contribute to the early diagnosis of this disease.