Cognitive Deficit after Therapy for Intracranial Aneurysms

Česká verzia

Authors: M. Preiss; J. Koblihová ²; D. Netuka ³; J. Klose ⁴; F. Charvát ⁵; V. Beneš ³; L. Bernardová ³
Authors place of work: Psychiatrické centrum Praha ; Ústřední lékařsko-psychologické oddělení, ÚVN, Praha ²; Neurochirurgická klinika 1. LF UK, IPVZ a ÚVN, Praha ³; Ústřední lékařsko psychologické oddělení, ÚVN, Praha ⁴; Radiologické oddělení, ÚVN, Praha ⁵
Published in the journal: Cesk Slov Neurol N 2007; 70/103(1): 37-42
Category: Original Paper

Podpořeno grantem IGA NR 8128-3

Summary

The capacity of short-term verbal memory and other memory parameters were measured following the therapy for an intracranial aneurysm (AN) after 1 month and 1 year. Patients (N = 117) were examined using Auditory Verbal Learning Test (AVLT) which repeatedly measured the capacity of short-term verbal memory. Two measurements carried out after subarachnoidal hemorrhage (SAH) have shown significantly increased capacity of short-term verbal memory. The average performance of the set was improved from the zone of –l,2 standard deviation (SD) below the mean norm to –0,5 SD below the mean norm, i.e. the subnormal values were shifted to the zone of normal ones. The extent of qualitative errors – confabulations - decreased together with the quantitative increase of the verbal memory capacity. No differences were found between groups of patients according to the type of therapy (patients with subarachnoidal hemorrhage (SAH), aneurysm (AN) treated by surgery /N = 35/, patients with SAH, endovascular therapy /N = 39/, patients without SAH, AN treated by surgery /N = 24/, patients without SAH, endovascular treatment /N = 16/). The trial has shown the effects of recovery after SAH in the sphere of the short-term verbal memory capacity and the absence of differences between the groups studied.

Key-words:
clip, coil, Auditory Verbal Learning Test, verbal memory

Zdroje

1. Hütter BO, Gilsbach JM, Kreitschmann I. Quality of life and cognitive deficits after subarchnoid haemorrhage. Br J Neurosugery 1995; 9: 465-75.

2. Hutter BO. Psychologic adjustment in patients after subarachnoid hemorrhage.

Neuropsychiatry Neuropsychol Behav Neurol 1998; 11(1): 22-30.

3. Ogden JA, Mee EW, Henning M. A prospective study of impairment of cognition and memory and recovery after subarachnoid hemorrhage. Neurosurgery 1993; 33: 572-87.

4. Berry E, Jones RA, West CG, Brown JD. Outcome of subarchnoid heamorrhage. An analysis of surgical variables, cognitive and emotional sequale related to SPECT scanning. Br J Neurosurgery 1997; 11: 378-87.

5. McKenna P, Willison JR, Phil B, Lowe D, Neil-Dwyer G. Cognitive outcome and quality of life one year after subarachnoid haemorrhage. Neurosurgery 1989; 24: 361-7.

6. Bornstein RA, Weir BKA, Petruk KC, Disney LB. Neuropsychological fuction in patients after subarachnoid hemorrhage. Neurosurgery 1987; 21: 651-4.

7. Preiss M. Paměťový test učení. Praha: Psychodiagnostika 1999.

8. Mavaddat N, Kirkpatrick PJ, Rogers RD. Deficits in decision-making in patients with aneurysm ot the anterior communicating artery. Brain 2000; 123: 2109-17.

9. Ljunggren B, Sonesson B, Saveland H, Brandt L. Cognitive impairment and adjustment in patients without neurological deficits. J Neurosurg 1985; 62: 673-9.

10. Richardson JT. Cognitive performance following rupture and repair of intracranial aneurysm. Acta Neurol Scand 1991; 83: 110-22.

11. Stenhouse LM, Knight RG, Longmore BE. Long-term cognitive deficits in patients after surgery on aneurysm of the anterior communication artery. J Neurol Neurosurg Psych 1991; 54: 909-14.

12. Hellawell D, Taylor R, Pentland B. Persisting symptoms and carers`views of outcome after subarachnoid haemorrhage. Clinical Rehabilitation 1999; 13: 333-40.

13. Wiens AN, McMinn MR, Crossen JR. Rey-Auditory Verbal Learning Test: Developmental norms for healthy young adults. The Clinical Neuropsychologist 1998; 2(1): 67–87. In: Preiss M, Laing H, Rodriguez M. Neuropsychologická baterie Psychiatrického centra Praha. Praha: Psychiatrické centrum Praha; Zprávy č.154/2002.

14. Mitrushina MN, Boone KB, D´Elia LF. Handbook of normative data for neuropsychological assessment. New York: Oxford University Press 1999.

15. Spreen O, Strauss E. A compendium of neuropsychological tests. New York: Oxford University Press 1998.

16. Keith JR, Punte AE. Deficiences in the detection of cognitive deficits. Neuropsychol 2002; 16: 434-9.