Exploring cognitive effects of self reported mild stroke in older adults: selective but robust effects on story memory.

Relatively little systematic information is available regarding patterns of cognitive effects of mild stroke in older adults. We explored this problem with a series of two independent samples from the Victoria Longitudinal Study data archives. In Study 1, self-reported mild stroke and neurologically intact matched controls were (a) confirmed as similar on a set of neurocognitive speed, basic cognition, and awareness indicators, and (b) compared for differences on a set of episodic, semantic, and working memory tasks. The mild stroke group was selectively worse on the language intensive story memory task. This effect was partially attributable to a deficit in remembering the most thematic information. Study 2 closely replicated these procedures and results. In addition, Study 2 follow-up analyses, comparing provisional right-hemisphere damaged and left-hemisphere damaged (LHD) participants, revealed that the thematic story memory deficit for mild stroke participants could be due to the selective impairment of LHD participants.