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Published on: August 30, 2020
Free recall memory performance after aneurysmal subarachnoid hemorrhage.
Signy Sheldon1, R Loch Macdonald, Tom A Schweizer
1Labatt Family Centre of Excellence in Brain Injury and Trauma Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada. signy.sheldon@utoronto.ca
Survivors of aneurysmal subarachnoid hemorrhage (SAH) experience memory issues, particularly with unorganized information. This suggests executive function impairments, especially for anterior communicating artery ruptures, impacting memory recall.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neurology
Background:
- Memory deficits are common in aneurysmal subarachnoid hemorrhage (SAH) survivors.
- The specific nature of these cognitive impairments remains poorly understood.
Purpose of the Study:
- To investigate the nature of memory deficits in SAH survivors.
- To differentiate between memory recall for organized versus unorganized information.
- To explore the role of executive functions in SAH-related memory impairment.
Main Methods:
- 24 SAH patients and matched controls studied word lists.
- Lists were either organized by category or unorganized (randomized).
- Intrusions (recalling words from other lists) were monitored.
Main Results:
- SAH patients recalled fewer words from unorganized lists compared to controls.
- SAH patients exhibited more intrusions than controls.
- Anterior communicating artery (ACoA) ruptures were associated with deficits primarily in unorganized list recall.
Conclusions:
- Memory impairment after SAH is likely due to deficits in executive memory components.
- ACoA ruptures are particularly linked to executive memory dysfunction.
- Findings may inform future cognitive rehabilitation strategies for SAH survivors.
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