Susac Syndrome Cognitive Assessment (SAGE Test)---Susac-Sage
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The score for your SAGE test will be calculated by our research team
The SAGE test is designed to identify cognitive impairment. It was developed by Dr. Scharre, a neurologist at
Ohio State University. Dr. Scharre has enthusiastically given the International Collaborative Study of Susac’s
Syndrome permission to use the SAGE test in our study.
SAGE is a brief self-administered cognitive screening instrument to identify Mild Cognitive Impairment
(MCI) and early dementia. Average time to complete the test is 10 to 15 minutes.
There are four forms of the SAGE test. Only one test form should be given. It does not matter which form is
taken, as they are all interchangeable. Click here to link directly to the tests. SAGE should be filled out in
ink without the assistance of others.
If you have difficulty using the links in this document, go directly to www.sagetest.osu.edu/
After you have printed the form and completed it, please print and complete this sheet and mail, fax (216
445 1035), or Scan-and-Email to Dr. Rennebohm at:([email protected]).
Susac-Sage