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Neuropsychological function in patients after subarachnoid hemorrhage
R A Bornstein1, B K Weir, K C Petruk
1Department of Psychiatry, Ohio State, Columbus.
Neurosurgery
|November 1, 1987
Summary
Neuropsychological testing after subarachnoid hemorrhage (SAH) surgery revealed that clinical outcomes correlate with cognitive function. Age and aneurysm location impacted psychological impairment, with fewer deficits than previously reported.
Area of Science:
- Neurosurgery
- Neuropsychology
- Neurology
Background:
- Subarachnoid hemorrhage (SAH) is a critical neurological condition often requiring surgical intervention.
- Assessing long-term cognitive deficits post-SAH is crucial for patient recovery and management.
Purpose of the Study:
- To evaluate the correlation between clinical neurological recovery and neuropsychological outcomes in patients after subarachnoid hemorrhage (SAH) surgery.
- To identify factors influencing neuropsychological impairment in this patient cohort.
Main Methods:
- Neuropsychological testing was administered to 48 patients post-SAH surgery.
- Patients' neurological recovery was pre-classified by neurosurgeons into good and poor outcome groups.
- Data on age, aneurysm location, and time to surgical intervention were collected.
Main Results:
- Clinical neurological recovery correlated well with neuropsychological test results.
- Older age and anterior communicating artery aneurysms were associated with poorer neuropsychological outcomes.
- A significant neuropsychological deficit was observed less frequently than in prior studies.
Conclusions:
- Neuropsychological testing provides a valuable assessment of recovery following SAH surgery.
- Age and specific aneurysm locations are key factors influencing cognitive outcomes.
- The study suggests potentially improved outcomes or interventions reducing neuropsychological deficits post-SAH.