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A total of 160 patients were included. At baseline patients were evaluated with regard to stroke type, stroke severity, pre\u2010stroke dementia and other risk factors. Mini Mental State Examinations (MMSE) were performed after 1\u2003week and after 1\u2003year. Patients had a median increase of 1 point (range \u22128 to +9) on the MMSE. Thirty\u2010two pre cent of the patients deteriorated, 13% were unchanged, and 55% improved. Lacunar infarction (LI) and left\u2010sided stroke were associated with a failure to exhibit improvement. Patients with LI had an average decline of 1.7 points, whilst patients with other stroke types had an average increase of 1.8 points. Most stroke survivors improve cognitively during the first year after the event. The outcome for LI patients is worse, which suggests that LI may serve as a marker for concomitant processes that cause cognitive decline.<\/jats:p>","DOI":"10.1111\/j.1468-1331.2006.01299.x","type":"journal-article","created":{"date-parts":[[2006,5,22]],"date-time":"2006-05-22T14:38:10Z","timestamp":1148308690000},"page":"491-495","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Changes in Mini Mental State Examination score after stroke: lacunar infarction predicts cognitive decline"],"prefix":"10.1111","volume":"13","author":[{"given":"P.","family":"Appelros","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c5. 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