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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.

DOI:10.1136/jnnp.54.10.909
PMID:1744646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1014577/
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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本文引用的文献

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Amnesia following the rupture and repair of an anterior communicating artery aneurysm.前交通动脉瘤破裂修复后的失忆症。
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Amnesia after anterior communicating artery aneurysm rupture.前交通动脉动脉瘤破裂后的失忆症。
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Surgical risk as related to time of intervention in the repair of intracranial aneurysms.与颅内动脉瘤修复干预时间相关的手术风险。
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Cognitive impairment and adjustment in patients without neurological deficits after aneurysmal SAH and early operation.动脉瘤性蛛网膜下腔出血及早期手术后无神经功能缺损患者的认知障碍与适应情况
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