and Neuropsychological Outcome After Microsurgical and Endovascular Treatment of Ruptured and Unruptured Anterior Communicating Artery Aneurysms: A Single-Enter Experience

 

Glasgow Outcome Scale (3 months)

1

2

3

4

5

Ruptured aneurysms

Surgery (20 patients)

–

2 (11 %)

6 (30 %)

8 (39 %)

4 (20 %)

Endovascular (11 patients)

–

1 (9 %)

3 (26 %)

3 (26 %)

4 (39 %)




Table 2
Clinical outcome at 1 year in patients with ruptured aneurysms



































 
Glasgow Outcome Scale (1 year)

1
2
3
4
5

Ruptured aneurysms
Surgery (20 patients)
–
1 (5 %)
5 (25 %)
9 (45 %)
5 (25 %)

Endovascular (11 patients)
–
1 (9 %)
2 (18 %)
2 (18 %)
6 (55 %)


Regarding the neuropsychological evaluation, the results obtained are shown in Table 3: the tests and the related cognitive domains are summarized, and scores are reported as mean values and equivalent scores.


Table 3
Neuropsychological tests and cognitive domains explored







































































































































































Test
Group 1
Group 2
Group 3
Group 4
  

Mean value
ES
SD
Mean value
ES
SD
Mean value
ES
SD
Mean value
ES
SD

Stroop Test
73 s
90 %
19.45
63 s
100 %
17.8
67 s
100 %
2.1
60 s
100 %
5.4
Processing speed

TMT A
37 s
4
17.2
26
4
10.8
35.3
4
10.5
16
4
4.4

PF
32
4
9.54
47
4
22.9
33
4
6.5
37
4
8.9
Language

SF
41.67
4
8.14
50.2
4
6.6
42
4
5.9
57
4
7.6

RAVLT
34.3
2
6.9
43.6
4
10
44.3
4
7.1
54.3
4
9.7
Short-term verbal memory

DSF
5.18
3
1.38
5.31
4
5.3
5.28
4
1.9
5.75
4
4.1

DSB
4.80
3
0.74
5.30
4
0.43
5.32
4
0.6
5.70
4
1.2
Working memory

Stroop interference
149 s
90 %
44.04
122 s
100 %
17.4
138 s
90 %
37.3
118 s
100 %
24.6
Executive functions

TMT B
107
3
32
43
4
33.4
83.5
3
28.4

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Jun 24, 2017 | Posted by in NEUROSURGERY | Comments Off on and Neuropsychological Outcome After Microsurgical and Endovascular Treatment of Ruptured and Unruptured Anterior Communicating Artery Aneurysms: A Single-Enter Experience

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