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Outcome 1 year after aneurysmal subarachnoid hemorrhage: relation between cognitive performance and neuroimaging

Egge, A; Waterloo, K; Sjoholm, H; Ingebrigtsen, T; Forsdahl, S; Jacobsen, EA and Romner, Bertil LU (2005) In Acta Neurologica Scandinavica 112(2). p.76-80
Abstract
Objective - To assess the cognitive impairment and the association between neuropsychological measures and neuroimaging 1 year after aneurysmal subarachnoid hemorrhage (SAH). Method - Forty-two patients were examined clinically according to Glasgow Outcome Scale (GOS). Computed tomography (CT), single photon emission computed tomography (SPECT) and neuropsychological examination were performed. Results - There were no association between GOS and cognitive impairment index based on the neuropsychological examination. CT showed no sign of cerebral ischemia in 17 (40%) and low attenuating areas indicating cerebral infarction(s) in 25 (60%) patients. A significant correlation (P = 0.01) was observed between the cognitive impairment index and... (More)
Objective - To assess the cognitive impairment and the association between neuropsychological measures and neuroimaging 1 year after aneurysmal subarachnoid hemorrhage (SAH). Method - Forty-two patients were examined clinically according to Glasgow Outcome Scale (GOS). Computed tomography (CT), single photon emission computed tomography (SPECT) and neuropsychological examination were performed. Results - There were no association between GOS and cognitive impairment index based on the neuropsychological examination. CT showed no sign of cerebral ischemia in 17 (40%) and low attenuating areas indicating cerebral infarction(s) in 25 (60%) patients. A significant correlation (P = 0.01) was observed between the cognitive impairment index and the SPECT index (r = 0.6). SPECT measurement was the only independent predictor for cognitive impairment. Conclusion - GOS is a crude outcome measure and patients classified with good recoveries may have significant cognitive deficits. Neuropsychological examination is the preferred method for outcome evaluation as this method specifically addresses the disabilities affecting patients' everyday life. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
neuroimaging, cognitive performance, subarachnoid hemorrhage, outcome
in
Acta Neurologica Scandinavica
volume
112
issue
2
pages
76 - 80
publisher
Wiley-Blackwell
external identifiers
  • wos:000230291000003
  • pmid:16008531
  • scopus:22344450517
ISSN
1600-0404
DOI
10.1111/j.1600-0404.2005.00449.x
language
English
LU publication?
yes
id
56df7bb2-83c1-4879-b7ad-e4fd9f336758 (old id 233679)
date added to LUP
2007-08-20 16:38:25
date last changed
2017-10-08 04:19:14
@article{56df7bb2-83c1-4879-b7ad-e4fd9f336758,
  abstract     = {Objective - To assess the cognitive impairment and the association between neuropsychological measures and neuroimaging 1 year after aneurysmal subarachnoid hemorrhage (SAH). Method - Forty-two patients were examined clinically according to Glasgow Outcome Scale (GOS). Computed tomography (CT), single photon emission computed tomography (SPECT) and neuropsychological examination were performed. Results - There were no association between GOS and cognitive impairment index based on the neuropsychological examination. CT showed no sign of cerebral ischemia in 17 (40%) and low attenuating areas indicating cerebral infarction(s) in 25 (60%) patients. A significant correlation (P = 0.01) was observed between the cognitive impairment index and the SPECT index (r = 0.6). SPECT measurement was the only independent predictor for cognitive impairment. Conclusion - GOS is a crude outcome measure and patients classified with good recoveries may have significant cognitive deficits. Neuropsychological examination is the preferred method for outcome evaluation as this method specifically addresses the disabilities affecting patients' everyday life.},
  author       = {Egge, A and Waterloo, K and Sjoholm, H and Ingebrigtsen, T and Forsdahl, S and Jacobsen, EA and Romner, Bertil},
  issn         = {1600-0404},
  keyword      = {neuroimaging,cognitive performance,subarachnoid hemorrhage,outcome},
  language     = {eng},
  number       = {2},
  pages        = {76--80},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Neurologica Scandinavica},
  title        = {Outcome 1 year after aneurysmal subarachnoid hemorrhage: relation between cognitive performance and neuroimaging},
  url          = {http://dx.doi.org/10.1111/j.1600-0404.2005.00449.x},
  volume       = {112},
  year         = {2005},
}