前交通动脉瘤手术后患者的长期认知缺陷
Long-term cognitive deficits in patients after surgery on aneurysms of the anterior communicating artery.
作者信息
Stenhouse L M, Knight R G, Longmore B E, Bishara S N
机构信息
Department of Psychology, University of Otago, Dunedin, New Zealand.
出版信息
J Neurol Neurosurg Psychiatry. 1991 Oct;54(10):909-14. doi: 10.1136/jnnp.54.10.909.
Abstract
The long term recovery of a series of 27 patients who had undergone rupture and repair of an aneurysm of the anterior communicating artery was assessed using a number of neuropsychological measures. Testing took place 12 to 84 months post surgery. On the basis of the results from tests of intellect, memory, and conceptual learning, three subgroups of patients were identified: those with persuasive cognitive defects, those with evidence of residual frontal lobe damage and those who showed no evidence of dysfunction. The occurrence of cerebral vasospasm was the most consistent predictor of long term cognitive deficit.
摘要
采用多种神经心理学测量方法，对27例前交通动脉瘤破裂并接受修复手术的患者进行了长期恢复情况评估。测试在术后12至84个月进行。根据智力、记忆和概念学习测试结果，将患者分为三个亚组：有明显认知缺陷的患者、有额叶残余损伤迹象的患者以及无功能障碍迹象的患者。脑血管痉挛的发生是长期认知缺陷最一致的预测因素。
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