Cognitive functioning and health-related quality of life 1 year after aneurysmal subarachnoid hemorrhage in preoperative comatose patients (Hunt and Hess Grade V patients).

Objective: The objective of this study was to determine cognitive functioning and health-related quality of life 1 year after aneurysmal subarachnoid hemorrhage in preoperative comatose patients (Hunt and Hess Grade V patients).

Methods: Patients who were comatose at hospital arrival and thereafter were investigated for 1 year using a comprehensive neuropsychological test battery and 2 HRQOL questionnaires.

Results: Thirty-five of 70 patients survived the bleed, and 26 underwent neuropsychological testing.

Are there common core features of apathy in different neuropsychiatric samples as assessed by the Apathy Evaluation Scale?

Background: Previous factor analyses of the Apathy Evaluation Scale (AES) have indicated the presence of one main factor comprising core symptoms of apathy. However, the factor structure of the AES has not been determined in patient samples with cerebrovascular disorders. Aims of the study were to 1) examine the factor structure of the AES in two patient samples with cerebrovascular disorders (stroke and subarachnoid haemorrhage (SAH)) and to compare these results with those from a study of young patients with first-episode psychosis, 2) identify common items loading on the main factors and 3) examine whether these items could be used as an abbreviated scale for stroke and SAH patients.

Cognitive functioning and health related quality of life after rupture of an aneurysm on the anterior communicating artery versus middle cerebral artery.

The neuropsychological outcome and Health Related Quality of Life (HRQOL) after SAH have been largely believed to be unrelated to the location of the ruptured aneurysm. This notion needs verification due to the contemporary availability of more sensitive neuropsychological test batteries and more recent clinical observations of deviant behaviour after SAH. To this end, we compared patients with ruptured aneurysms on respectively the anterior communicating artery (ACoA) (n = 24) or middle cerebral artery (MCA) (n = 22).

Surgical repair of unruptured and ruptured middle cerebral artery aneurysms: impact on cognitive functioning and health-related quality of life.

Objective: To assess the impact of surgical treatment of unruptured and ruptured middle cerebral artery (MCA) aneurysms on cognitive functioning and health-related quality of life (HRQOL).

Methods: This was a prospective study enrolling 15 patients with unruptured MCA aneurysms and 22 patients with ruptured MCA aneurysms in good clinical condition postictally. Patients with unruptured aneurysms underwent preoperative neuropsychological testing and answered 2 HRQOL questionnaires.

Cognitive outcome after aneurysmal subarachnoid hemorrhage: time course of recovery and relationship to clinical, radiological, and management parameters.

Objective: Although many patients show a satisfactory physical outcome after aneurysmal subarachnoid hemorrhage (SAH), disabling cognitive dysfunction may still be present. This study focuses on the time course of cognitive recovery during the first year after aneurysmal SAH, and relates the neuropsychological test results to clinical, radiological, and management parameters.

Methods: Thirty-two patients were followed prospectively with neuropsychological examinations at 3, 6, and 12 months after SAH.