Related Experiment Videos
Reversible dementia in patients with chronic subdural hematomas
Eiichi Ishikawa1, Kiyoyuki Yanaka, Koichi Sugimoto
1Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
Journal of Neurosurgery
|May 7, 2002
Summary
Surgery for chronic subdural hematomas (CSDHs) significantly improves neuropsychiatric function and daily living independence. Younger patients with better preoperative cognitive scores and lower ADL scores experience the most significant recovery.
Area of Science:
- Neurosurgery
- Neurology
- Geriatrics
Background:
- Chronic subdural hematomas (CSDHs) can cause significant neuropsychiatric deficits.
- Assessing and predicting recovery of cognitive and functional status post-surgery is crucial for patient management.
Purpose of the Study:
- To analyze neuropsychiatric changes after CSDH surgery.
- To identify factors predicting neuropsychiatric recovery following CSDH treatment.
Main Methods:
- 26 patients with CSDH underwent burr hole irrigation.
- Preoperative and postoperative cognitive assessments included the Mini-Mental State Examination (MMSE) and Hasegawa Dementia Scale-Revised (HDS-R).
- Activities of Daily Living (ADL) scores and neuroimaging findings were also analyzed.
Main Results:
- Surgery significantly improved ADL independence (p = 0.0026) and neuropsychiatric functions (MMSE p = 0.0002, HDS-R p = 0.0008).
- Preoperative factors influencing status included midline shift and ADL score.
- Patient age, preoperative ADL, MMSE, and HDS-R scores predicted neuropsychiatric recovery.
Conclusions:
- Dementia associated with CSDH is often reversible with surgery.
- Younger patients with better preoperative cognitive function and lower ADL scores show superior neuropsychiatric recovery.
- MMSE and HDS-R scores are valuable tools for predicting functional outcomes in CSDH patients.