title: Fisher Grading Scale Associated with Language Disorders in Patients with Anterior Circulation Aneurysmal Subarachnoid Hemorrhage.
abstract: OBJECTIVE
  To associate the presence of language deficits with varying scores of the Fisher grading scale in patients with subarachnoid hemorrhage in the period preceding the treatment of aneurysm in the anterior circulation, as well as to compare the scores of this scale, identifying the grades more associated with the decline of language.
  
  
  METHODS
  Database analysis of 185 preoperative evaluations of language, through the Montreal Toulouse Protocol Alpha version and verbal fluency through CERAD battery, of patients from "Hospital da Restauração" with aneurysmal subarachnoid hemorrhage, divided according to the Fisher grading scale (Fisher I, II, III, or IV) and compared with a control group of individuals considered normal.
  
  
  RESULTS
  The various scores of the Fisher grading scale have different levels of language deficits, more pronounced as the amount of blood increases. Fisher III and IV scores are most associated with the decline of language.
  
  
  CONCLUSIONS
  Our study made it possible to obtain information not yet available in the literature, by correlating the various scores of the Fisher grading scale with language yet in the period preceding treatment.
authors: Department of Neurosurgery, Hospital da Restauração, Recife, Brazil; Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Brazil; Department of Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Pernambuco, Brazil. Electronic address: souzamoyses@hotmail.com.
authors: Moysés Loiola Ponte
authors: ML
authors: de Souza
authors: Department of Phonoaudiology, Federal University of Pernambuco, Pernambuco, Brazil.
authors: Ana Cláudia C
authors: AC
authors: Vieira
authors: Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Brazil.
authors: Gustavo
authors: G
authors: Andrade
authors: Department of Neurosurgery, Hospital da Restauração, Recife, Brazil; Department of Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Pernambuco, Brazil.
authors: Saul
authors: S
authors: Quinino
authors: Department of Neurosurgery, Hospital da Restauração, Recife, Brazil.
authors: Maria
authors: M
authors: de Fátima Leal Griz
authors: Department of Neurosurgery, Hospital da Restauração, Recife, Brazil; Department of Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Pernambuco, Brazil.
authors: Hildo R C
authors: HR
authors: Azevedo-Filho
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000473:pathology / Q000601:surgery; D007806:Language Disorders / Q000175:diagnosis* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000473:pathology / Q000601:surgery
keywords: Computed tomography; Fisher scale; Intracranial aneurysm; Neuropsychological assessment; Subarachnoid hemorrhage