Cognitive impairment and adjustment in patients without neurological deficits after aneurysmal SAH and early operation.

@article{Ljunggren1985CognitiveIA,
  title={Cognitive impairment and adjustment in patients without neurological deficits after aneurysmal SAH and early operation.},
  author={Bengt Ljunggren and Bengt Sonesson and Hans S{\"a}veland and Lennart Brandt},
  journal={Journal of neurosurgery},
  year={1985},
  volume={62 5},
  pages={
          673-9
        }
}
The mortality rate has recently been reduced to only a small percentage of patients selected for early aneurysm surgery. Despite recovery without neurological deficits, however, a diffuse encephalopathy may remain, with emotional and psychological sequelae that will interfere with rehabilitation and social reintegration. The present study evaluates quality of life, degree of cognitive dysfunction, and adjustment of patients with a satisfactory neurological recovery after aneurysm operation in… 
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Neurological and neuropsychological outcome after SAH.
TLDR
The best cognitive outcome was shown in patients with aneurysms on the anterior communicating artery followed by posterior communicating artery (PCoA) and those located on the internal carotid artery (ICA) on the right side, and localization of the rupturedAneurysm significantly correlated with cognitive measures.
Is there a group of early surgery aneurysmal SAH patients who can expect to achieve a complete long-term neuropsychological recovery?
TLDR
Results indicate that early aneurysm surgery, coupled with modern microneurosurgical techniques and aggressive medical management is associated with a good neurological outcome and a full recovery of cognitive, neuropsychological and emotional performances in a subset of patients with favourable clinical characteristics.
Relationship of Local Infarctions to Cognitive and Psychosocial Impairments after Aneurysmal Subarachnoid Hemorrhage
TLDR
The severity of SAH is associated with impairments in working capacity and social activity rather than with specific cognitive deficits, and patients’ and partners’ opinions on patients' mental impairments could provide complementary information to clinical grades and cognitive tests in the evaluation of outcome after SAH.
Timing of operation for ruptured cerebral aneurysm and long-term recovery of cognitive functions
TLDR
There were no differences between ES and LS patients in neuropsychological tests sensitive to brain damage, suggesting that the decision for early or late surgery for ruptured cerebral aneurysm can be based upon surgical reasons at the time of the SAH.
Cognitive deficits in the acute stage after subarachnoid hemorrhage.
TLDR
The results emphasize that the severity of SAH (Fisher score) is the most important factor related to cognitive dysfunction, but frontal hematoma, intraventricular hemorrhage, and acute hydrocephalus were also associated with cognitive deficits, compared with patients with SAH without these findings.
Recovery of Cognitive Function After Surgery for Aneurysmal Subarachnoid Hemorrhage
TLDR
In this population of adult IHAST patients, cognitive improvement continued beyond 3 months, with a plateau between 9 and 15 months, and this was not affected by the use of intraoperative hypothermia or anatomical location of aneurysm.
Cognitive Impairments After Clipping of Ruptured Anterior Circulation Aneurysms.
Neurological and psychosocial outcome 4 to 7 years after subarachnoid hemorrhage.
TLDR
Survivors of SAH continue to recover for years and develop good coping skills and a positive attitude toward their recovery, even when they experience ongoing problems.
Cognitive functioning and health related quality of life after rupture of an aneurysm on the anterior communicating artery versus middle cerebral artery
TLDR
Mild to moderate discrepancies from population norm in test scores on a number of areas of cognitive functioning in both patient groups are found, with a consistent, but statistically non-significant trend towards better functioning in MCA patients despite of the fact that patients with ruptured MCA aneurysms were initially in a poorer clinical condition and more often had intracranial haematomas.
Cognitive Functioning and Health‐Related Quality of Life 1 Year After Aneurysmal Subarachnoid Hemorrhage in Preoperative Comatose Patients (Hunt and Hess Grade V Patients)
TLDR
A high fraction of survivors among preoperative comatose aneurysmal SAH patients (Hunt and Hess grade V) recover to good physical and cognitive function, enabling them to live a normal life.
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References

SHOWING 1-10 OF 31 REFERENCES
Cognitive sequelae and recovery course after moderate and severe head injury.
TLDR
This study suggests that all patients sustain significant mental sequelae after severe or moderate head injury, and in spite of significant improvement during the 1st year, patients continue to have marked impairment in cognitive functions.
Long-term neuropsychological outcome of closed head injury.
TLDR
Analysis of persistent neuropsychological deficit in relation to neurological indices of acute injury severity demonstrated the prognostic significance of oculovestibular deficit.
Head injury in children and teenagers; functional recovery correlated with the duration of coma.
TLDR
Of 30 patients who remained in coma less than three month, only one did not have independent ambulation with or without equipment at the time of his last follow-up evaluation, showing that the prognosis for recovery in this age group is much better than expected following severe head injury.
Outcome 1 year after SAH from cerebral aneurysm. Management morbidity, mortality, and functional status in 112 consecutive good-risk patients.
TLDR
The authors support the suggestion by previous workers that an analysis of at least the 6-month and perhaps the 1-year outcome (especially management mortality for all patients) provides the most important parameter for judging outcome and comparing different management protocols for SAH.
Causes of unfavorable outcome after early aneurysm operation.
TLDR
It is principally the patient's condition during the acute stage that determines the outcome in patients operated upon for a ruptured supratentorial aneurysm within 3 days after the hemorrhage.
Early operation and overall outcome in aneurysmal subarachnoid hemorrhage.
TLDR
The overall outcome in aneurysmal SAH remains poor, mainly because of the large group of patients who are permanently devastated by their initial bleed.
Influence of site of impact on cognitive impairment persisting long after severe closed head injury
  • E. Smith
  • Psychology, Medicine
    Journal of neurology, neurosurgery, and psychiatry
  • 1974
The cognitive abilities of right-handed men who had sustained a severe closed head injury between 10 and 20 years earlier were studied. Results showed that a right-sided impact produced greater…
Cerebral pathology in subarachnoid haemorrhage
  • B. Smith
  • Medicine
    Journal of neurology, neurosurgery, and psychiatry
  • 1963
TLDR
The present study is confined to the brains of patients dying from the consequence of subarachnoid haemorrhage without significant cerebral disruption or intracerebral clot, and only eight of 30 brains examined macroscopically fulfilled these criteria.
Surgical risk as related to time of intervention in the repair of intracranial aneurysms.
TLDR
The modification of Botterell's classification 3 has been applied to 275 consecutive cases of intracranial aneurysm treated by the faculty and resident staff of the Ohio State University and affiliated hospitals over a 12year period and is of the opinion that a fairly sharp differentiation is possible among patients who have few or no meningeal signs, patients who has welldefined meningealing signs but no neurological deficit, and patients who show neurological malfunction.
The psychiatric sequelae of head injury: a review.
  • W. Lishman
  • Psychology, Medicine
    Psychological medicine
  • 1973
TLDR
The review deals mainly with the more chronic psychiatric sequelae of head injury, including intellectual impairments, change of personality, psychotic illness, and neurotic disorders.
...
1
2
3
4
...