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Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms

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Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms. / Krajewski, Kara; Dombek, Susanne; Martens, Tobias; Köppen, Johannes; Westphal, Manfred; Regelsberger, Jan.

in: NEUROSURG REV, Jahrgang 37, Nr. 1, 2014, S. 55-62.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Krajewski, K, Dombek, S, Martens, T, Köppen, J, Westphal, M & Regelsberger, J 2014, 'Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms', NEUROSURG REV, Jg. 37, Nr. 1, S. 55-62. https://doi.org/10.1007/s10143-013-0489-3

APA

Krajewski, K., Dombek, S., Martens, T., Köppen, J., Westphal, M., & Regelsberger, J. (2014). Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms. NEUROSURG REV, 37(1), 55-62. https://doi.org/10.1007/s10143-013-0489-3

Vancouver

Krajewski K, Dombek S, Martens T, Köppen J, Westphal M, Regelsberger J. Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms. NEUROSURG REV. 2014;37(1):55-62. https://doi.org/10.1007/s10143-013-0489-3

Bibtex

@article{f9c456bdee6e4305b538456768c8c1ae,
title = "Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms",
abstract = "Subarachnoid hemorrhage (SAH) is known to be associated with long-term cognitive deficits. Neurosurgical manipulation on the brain itself has been reported to have influence on neuropsychological sequelae. The following is a comparative study on perimesencephalic and aneurysmal subarachnoid hemorrhage patients as well as elective aneurysm patients that was carried out to determine the isolated and combined impact of surgical manipulation and hemorrhage, respectively, on long-term neuropsychological outcome. Inclusion criteria were good neurological recovery at discharge (modified Rankin Scale 0 or 1) without focal neurological deficit. Standardized psychological testing covered attention, memory, executive functions, and mood. Thirteen aneurysmal SAH patients, 15 patients undergoing elective clipping, and 14 patients with perimesencephalic SAH were analyzed. Standardized neuropsychological testing and social/professional history questionnaires were performed 2 years (mean) after discharge. Memory impairment and slower cognitive processing were found in the aneurysmal and perimesencephalic SAH groups, while elective aneurysm patients showed signs of impaired attention. However, compared with norm data for age-matched healthy controls, all groups showed no significant test results. In contrast, signs of clinical depression were seen in 9/42 patients, 45 % of all patients complained of stress disorders and 55 % of patients were unable to work in their previous professions. Nearly normal neuropsychological test results on long-term follow-up in SAH patients were unexpected. However, a 50 % rate of unemployment accompanied with stress disorders and depression manifests insufficient social and workplace reintegration. Therefore, even more specific rehabilitation programs are required following inpatient treatment to attain full recovery.",
keywords = "Adult, Affect, Aged, Attention, Cognition Disorders, Female, Humans, Intracranial Aneurysm, Male, Memory Disorders, Mesencephalon, Middle Aged, Nervous System Diseases, Neuropsychological Tests, Neurosurgical Procedures, Psychomotor Performance, Socioeconomic Factors, Subarachnoid Hemorrhage, Trail Making Test, Treatment Outcome, Verbal Learning, Wechsler Scales",
author = "Kara Krajewski and Susanne Dombek and Tobias Martens and Johannes K{\"o}ppen and Manfred Westphal and Jan Regelsberger",
year = "2014",
doi = "10.1007/s10143-013-0489-3",
language = "English",
volume = "37",
pages = "55--62",
journal = "NEUROSURG REV",
issn = "0344-5607",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - Neuropsychological assessments in patients with aneurysmal subarachnoid hemorrhage, perimesencephalic SAH, and incidental aneurysms

AU - Krajewski, Kara

AU - Dombek, Susanne

AU - Martens, Tobias

AU - Köppen, Johannes

AU - Westphal, Manfred

AU - Regelsberger, Jan

PY - 2014

Y1 - 2014

N2 - Subarachnoid hemorrhage (SAH) is known to be associated with long-term cognitive deficits. Neurosurgical manipulation on the brain itself has been reported to have influence on neuropsychological sequelae. The following is a comparative study on perimesencephalic and aneurysmal subarachnoid hemorrhage patients as well as elective aneurysm patients that was carried out to determine the isolated and combined impact of surgical manipulation and hemorrhage, respectively, on long-term neuropsychological outcome. Inclusion criteria were good neurological recovery at discharge (modified Rankin Scale 0 or 1) without focal neurological deficit. Standardized psychological testing covered attention, memory, executive functions, and mood. Thirteen aneurysmal SAH patients, 15 patients undergoing elective clipping, and 14 patients with perimesencephalic SAH were analyzed. Standardized neuropsychological testing and social/professional history questionnaires were performed 2 years (mean) after discharge. Memory impairment and slower cognitive processing were found in the aneurysmal and perimesencephalic SAH groups, while elective aneurysm patients showed signs of impaired attention. However, compared with norm data for age-matched healthy controls, all groups showed no significant test results. In contrast, signs of clinical depression were seen in 9/42 patients, 45 % of all patients complained of stress disorders and 55 % of patients were unable to work in their previous professions. Nearly normal neuropsychological test results on long-term follow-up in SAH patients were unexpected. However, a 50 % rate of unemployment accompanied with stress disorders and depression manifests insufficient social and workplace reintegration. Therefore, even more specific rehabilitation programs are required following inpatient treatment to attain full recovery.

AB - Subarachnoid hemorrhage (SAH) is known to be associated with long-term cognitive deficits. Neurosurgical manipulation on the brain itself has been reported to have influence on neuropsychological sequelae. The following is a comparative study on perimesencephalic and aneurysmal subarachnoid hemorrhage patients as well as elective aneurysm patients that was carried out to determine the isolated and combined impact of surgical manipulation and hemorrhage, respectively, on long-term neuropsychological outcome. Inclusion criteria were good neurological recovery at discharge (modified Rankin Scale 0 or 1) without focal neurological deficit. Standardized psychological testing covered attention, memory, executive functions, and mood. Thirteen aneurysmal SAH patients, 15 patients undergoing elective clipping, and 14 patients with perimesencephalic SAH were analyzed. Standardized neuropsychological testing and social/professional history questionnaires were performed 2 years (mean) after discharge. Memory impairment and slower cognitive processing were found in the aneurysmal and perimesencephalic SAH groups, while elective aneurysm patients showed signs of impaired attention. However, compared with norm data for age-matched healthy controls, all groups showed no significant test results. In contrast, signs of clinical depression were seen in 9/42 patients, 45 % of all patients complained of stress disorders and 55 % of patients were unable to work in their previous professions. Nearly normal neuropsychological test results on long-term follow-up in SAH patients were unexpected. However, a 50 % rate of unemployment accompanied with stress disorders and depression manifests insufficient social and workplace reintegration. Therefore, even more specific rehabilitation programs are required following inpatient treatment to attain full recovery.

KW - Adult

KW - Affect

KW - Aged

KW - Attention

KW - Cognition Disorders

KW - Female

KW - Humans

KW - Intracranial Aneurysm

KW - Male

KW - Memory Disorders

KW - Mesencephalon

KW - Middle Aged

KW - Nervous System Diseases

KW - Neuropsychological Tests

KW - Neurosurgical Procedures

KW - Psychomotor Performance

KW - Socioeconomic Factors

KW - Subarachnoid Hemorrhage

KW - Trail Making Test

KW - Treatment Outcome

KW - Verbal Learning

KW - Wechsler Scales

U2 - 10.1007/s10143-013-0489-3

DO - 10.1007/s10143-013-0489-3

M3 - SCORING: Journal article

C2 - 23949148

VL - 37

SP - 55

EP - 62

JO - NEUROSURG REV

JF - NEUROSURG REV

SN - 0344-5607

IS - 1

ER -