Dull R A, Brown G G, Adams K M, Shatz M W, Diaz F G, Ausman J I
J Clin Neuropsychol. 1982 Jul;4(2):151-65. doi: 10.1080/01688638208401125.
We examined level of performance in 40 candidates for cerebral revascularization and found substantial variability on general indices of neuropsychological performance. Patients differed by duration of their longest ischemic attack, by surgery type, but not by time since onset of their first ischemic attack. Duration of the longest ischemic attack correlated highly with neuropsychological summary scores. In contrast, symptom duration was unrelated to level of performance in 18 additional patients with histories consistent with cerebrovascular ischemia who did not undergo surgery subsequently. We concluded that initial status on neuropsychological tests is an important variable to consider in postoperative followup of patients undergoing cerebral revascularization. More detailed clinical history and finer grained analysis of neuropsychological data promised to reveal additional relationships among clinical symptoms, neurobehavioral data, and underlying neuropathology.
我们对40名接受脑血运重建术的患者的表现水平进行了检查，发现其神经心理学表现的总体指标存在很大差异。患者在最长缺血发作的持续时间、手术类型上存在差异，但在首次缺血发作开始后的时间方面没有差异。最长缺血发作的持续时间与神经心理学综合评分高度相关。相比之下，在另外18名有脑血管缺血病史且随后未接受手术的患者中，症状持续时间与表现水平无关。我们得出结论，神经心理学测试的初始状态是脑血运重建术后患者随访中需要考虑的一个重要变量。更详细的临床病史和对神经心理学数据更精细的分析有望揭示临床症状、神经行为数据和潜在神经病理学之间的更多关系。
