دورية أكاديمية
أعرض في EDS

A Systematic Review of Neuropsychological Outcomes After Treatment of Intracranial Aneurysms.

التفاصيل البيبلوغرافية
العنوان: A Systematic Review of Neuropsychological Outcomes After Treatment of Intracranial Aneurysms.
المؤلفون: Nasra M; Monash Health, Clayton, Victoria, Australia., Weerakkody D; Northeast Health, Wangaratta, Victoria, Australia., Maingard JT; Interventional Neuroradiology Unit, Monash Imaging, Monash Health, Clayton, Victoria, Australia.; Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.; Department of Radiology, Interventional Neuroradiology Service, Austin Health, Heidelberg, Australia.; Department of Interventional Radiology, St Vincent's Health Australia, Fitzroy, Victoria, Australia., Hall J; Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.; Department of Interventional Radiology, St Vincent's Health Australia, Fitzroy, Victoria, Australia., Mitreski G; Department of Radiology, Interventional Neuroradiology Service, Austin Health, Heidelberg, Australia., Kok HK; Interventional Radiology Service, Northern Health, Epping, Victoria, Australia., Smith PD; Department of Neurosurgery, St Vincent's Hospital, Fitzroy, Victoria, Melbourne, Australia.; Melbourne Medical School, The University of Melbourne, Parkville, Victoria, Melbourne., Russell JH; Department of Neurosurgery, Austin Health, Heidelberg, Victoria, Australia., Jhamb A; Department of Interventional Radiology, St Vincent's Health Australia, Fitzroy, Victoria, Australia., Brooks DM; Department of Radiology, Interventional Neuroradiology Service, Austin Health, Heidelberg, Australia.; School of Medicine-Faculty of Health, Deakin University, Waurn Ponds, Victoria, Australia., Asadi H; Interventional Neuroradiology Unit, Monash Imaging, Monash Health, Clayton, Victoria, Australia.; Department of Radiology, Interventional Neuroradiology Service, Austin Health, Heidelberg, Australia.; School of Medicine-Faculty of Health, Deakin University, Waurn Ponds, Victoria, Australia.; Stroke Division, Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
المصدر: Neurosurgery [Neurosurgery] 2022 Dec 01; Vol. 91 (6), pp. 831-841. Date of Electronic Publication: 2022 Oct 14.
نوع المنشور: Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 7802914 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-4040 (Electronic) Linking ISSN: 0148396X NLM ISO Abbreviation: Neurosurgery Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [Philadelphia] : Lippincott Williams & Wilkins, Inc.
Original Publication: Baltimore, Williams & Wilkins.
مواضيع طبية MeSH: Intracranial Aneurysm*/surgery , Intracranial Aneurysm*/psychology , Endovascular Procedures*/methods , Subarachnoid Hemorrhage*/surgery , Aneurysm, Ruptured*/surgery, Humans ; Quality of Life ; Executive Function ; Treatment Outcome
مستخلص: Background: Aneurysmal subarachnoid hemorrhage is a cause of profound morbidity and mortality. Its effects extend beyond functional neurological status to neurocognitive and psychological functioning. Endovascular treatment is becoming more prevalent after increasing evidence for its safety and efficacy; however, there is a relative paucity of evidence specific to neurocognitive status after treatment.
Objective: To assess and compare neuropsychological outcomes after the treatment of ruptured and unruptured intracranial aneurysms.
Methods: A systematic review of the literature was conducted searching for articles assessing the neuropsychological and cognitive outcomes after the treatment of ruptured and unruptured intracranial aneurysms. Inclusion criteria were English language, publication between January 2000 and October 2020, and discussion of neuropsychological outcomes in adequate detail. Outcomes were categorized into 8 domains: 5 Neurocognitive (Language, Executive Function, Complex Attention, Memory and Learning, and Perceptual motor function), Intelligence Quotient, Affect, and Quality of Life.
Results: Twenty-four articles were included comprising 2236 patients (924 surgical clipping, 1095 endovascular coiling, and 217 controls). These studies reported that most tests revealed no significant difference [n = 356/421 (84.56%)] between treatment modalities. More studies reported significantly superior test scores in the fields of language, executive function, and memory and learning after coiling [n = 53/421 tests (12.59%)] compared with clipping [n = 12/421 tests (2.85%)].
Conclusion: The current available data and published studies demonstrate a trend toward improved neurocognitive and psychological outcomes after endovascular treatment. Although these findings should be considered when deciding on the optimal treatment method for each patient, drawing definitive conclusions is difficult because of heterogeneity between patients and studies.
(Copyright © Congress of Neurological Surgeons 2022. All rights reserved.)
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تواريخ الأحداث: Date Created: 20221014 Date Completed: 20221118 Latest Revision: 20221213
رمز التحديث: 20240513
DOI: 10.1227/neu.0000000000002147
PMID: 36239513
قاعدة البيانات: MEDLINE
الوصف
تدمد:1524-4040
DOI:10.1227/neu.0000000000002147