Prevalence of Cognitive Impairments in Patients with Good Functional Outcome in Late Phase Subarachnoid Hemorrhage

• Main Authors: Ariane Bernardes Camilo Castilho de Avellar, Gerival Vieira Junior, Lucas Alverne Freitas de Albuquerque, Rodrigo Alvares Paiva Macedo, Marcos Dellaretti
• Format: Article
• Language: English
• Published: Thieme Revinter Publicações Ltda. 2016-03-01
• Series: Brazilian Neurosurgery
• Subjects: subarachnoid hemorrhage; cognition; embolization; therapeutic; microsurgery; clinical evolution
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1579754
• ISSN: 0103-5355; 2359-5922

Abstract Prior studies have shown high prevalence of neuropsychological deficits after aneurysmal subarachnoid hemorrhage; however, few studies detect cognitive impairments in patients with good functional outcome, measured whith Rankin Modified Scale, in the late phase of subarachnoid hemorrhage. We confirmed a high prevalence of alterations in neuropsychological tests in 44 patients with Rankin Modified ≤ 2. We proposed the application of simple and fast tests that allowed us to detect impairments with precision similar to that of complex cognitive batteries used in previous studies. We also attempt to confirm statistical association between factors that could be related to poor cognitive outcome, like Hunt-Hess scale classification, bleeding intensity measured with Fisher scale, therapeutic type (microsurgery ou embolization), and aneurysm localization; however, there was no significance.