Neurological, neuropsychological, and functional outcome following treatment for unruptured intracranial aneurysms.
The objective of this study was to carry out a detailed investigation of the neurological, neuropsychological, and return-to-work status of treatment for unruptured intracranial aneurysms (UIAs). A prospective design was used to evaluate the outcome of UIA treatment in a group of 26 UIA patients. Over a 24-month period UIA patients were assessed prior to treatment, during hospitalization, at three months and at six months following treatment. Their performance was compared to a group of 20 matched controls. Neurological morbidity as a result of the UIA treatment was 5%, as assessed by the Glasgow Outcome Scale (GOS) or Rankin at 3 months. The Telephone Interview for Cognitive Status (TICS) proved to be unreliable as a measure of cognitive change. Reliability of change analysis was more sensitive than group analysis, and revealed a pattern of cognitive deficits in 10% of patients as a result of the UIA treatment. In addition, 25% of patients reported a change in work role as a result of the UIA treatment. While 10% of patients sustained mild to moderate neurological and cognitive impairments 3 to 6 months following UIA treatment, their deficits were not as wide-ranging nor as severe as those sustained by patients who survive a subarachnoid hemorrhage (SAH).
Towgood
Karren
K
Department of Psychology, University of Auckland, Auckland, New Zealand. karren.towgood@middlemore.co.nz
Ogden
Jenni A
JA
Mee
Edward
E
D000328:Adult; D000368:Aged; D004651:Employment; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000523:psychology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D013345:Subarachnoid Hemorrhage / Q000523:psychology; D016896:Treatment Outcome