Call for uniform neuropsychological assessment after aneurysmal subarachnoid hemorrhage: Swiss recommendations.

Détails

ID Serval
serval:BIB_B514AD324690
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Call for uniform neuropsychological assessment after aneurysmal subarachnoid hemorrhage: Swiss recommendations.
Périodique
Acta Neurochirurgica
Auteur⸱e⸱s
Zweifel-Zehnder A.E., Stienen M.N., Chicherio C., Studerus-Germann A., Bläsi S., Rossi S., Gutbrod K., Schmid N., Beaud V., Mondadori C., Brugger P., Sacco L., Müri R., Hildebrandt G., Fournier J.Y., Keller E., Regli L., Fandino J., Mariani L., Raabe A., Daniel R.T., Reinert M., Robert T., Schatlo B., Bijlenga P., Schaller K., Monsch A.U.
Collaborateur⸱rice⸱s
Swiss SOS study group
ISSN
0942-0940 (Electronic)
ISSN-L
0001-6268
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
157
Numéro
9
Pages
1449-1458
Langue
anglais
Résumé
BACKGROUND: In a high proportion of patients with favorable outcome after aneurysmal subarachnoid hemorrhage (aSAH), neuropsychological deficits, depression, anxiety, and fatigue are responsible for the inability to return to their regular premorbid life and pursue their professional careers. These problems often remain unrecognized, as no recommendations concerning a standardized comprehensive assessment have yet found entry into clinical routines.
METHODS: To establish a nationwide standard concerning a comprehensive assessment after aSAH, representatives of all neuropsychological and neurosurgical departments of those eight Swiss centers treating acute aSAH have agreed on a common protocol. In addition, a battery of questionnaires and neuropsychological tests was selected, optimally suited to the deficits found most prevalent in aSAH patients that was available in different languages and standardized.
RESULTS: We propose a baseline inpatient neuropsychological screening using the Montreal Cognitive Assessment (MoCA) between days 14 and 28 after aSAH. In an outpatient setting at 3 and 12 months after bleeding, we recommend a neuropsychological examination, testing all relevant domains including attention, speed of information processing, executive functions, verbal and visual learning/memory, language, visuo-perceptual abilities, and premorbid intelligence. In addition, a detailed assessment capturing anxiety, depression, fatigue, symptoms of frontal lobe affection, and quality of life should be performed.
CONCLUSIONS: This standardized neuropsychological assessment will lead to a more comprehensive assessment of the patient, facilitate the detection and subsequent treatment of previously unrecognized but relevant impairments, and help to determine the incidence, characteristics, modifiable risk factors, and the clinical course of these impairments after aSAH.
Pubmed
Web of science
Création de la notice
15/09/2015 16:26
Dernière modification de la notice
20/08/2019 15:23
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