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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Cognitive Impairments After Clipping of Ruptured Anterior Circulation Aneurysms
Manju Mohanty1, Sivashanmugam Dhandapani1, Sunil Kumar Gupta1
1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
World Neurosurgery
|June 20, 2018
Summary
Cognitive impairments are common after ruptured aneurysm treatment. Anterior cerebral artery aneurysms lead to worse memory and fluency deficits, regardless of other factors.
Area of Science:
- Neurosurgery
- Neuropsychology
- Cognitive Neurology
Background:
- Cognitive deficits following ruptured aneurysm treatment are often underestimated.
- This study aimed to determine the prevalence of cognitive impairments and associated factors.
Purpose of the Study:
- To assess the prevalence of cognitive impairments in patients treated for ruptured anterior circulation aneurysms.
- To analyze factors associated with these cognitive impairments.
Main Methods:
- 87 patients operated on for ruptured anterior circulation aneurysms were evaluated at 3 months post-discharge.
- Cognitive functions including memory and verbal fluency were assessed using continuous scales.
- Univariate and multivariate analyses were performed to identify associated factors.
Main Results:
- Phonemic fluency was impaired in 66% of patients; 56% had memory impairments.
- Anterior cerebral artery (ACA) aneurysm treatment was linked to significantly greater recent and remote memory deficits (P < 0.05).
- ACA aneurysms also showed greater phonemic fluency impairments (P = 0.04), independent of other factors.
Conclusions:
- Cognitive impairments are frequent after ruptured anterior circulation aneurysm treatment.
- Patients treated for ACA-related aneurysms experience significantly worse memory and phonemic fluency deficits.
- These findings highlight the need for targeted cognitive assessment and management post-treatment.
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