Analyse et évolution des déficits cognitifs après rupture des anévrysmes de l'artère communicante antérieure [Analysis and course of cognitive deficits after rupture of aneurysms of the anterior communicating artery]

Details

Serval ID
serval:BIB_96E4DE1AC142
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Analyse et évolution des déficits cognitifs après rupture des anévrysmes de l'artère communicante antérieure [Analysis and course of cognitive deficits after rupture of aneurysms of the anterior communicating artery]
Journal
Revue neurologique
Author(s)
Rousseaux M., Godefroy O., Cabaret M., Benaim C., Pruvo J.P.
ISSN
0035-3787 (Print)
ISSN-L
0035-3787
Publication state
Published
Issued date
11/1996
Peer-reviewed
Oui
Volume
152
Number
11
Pages
678-687
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
The aim of this study is to investigate general intellectual and memory performances at the secondary (3 weeks to 4.5 months) and late (10 to 16 months) stages following rupture of anterior communicating artery aneurysms (AACA). Twenty one patients presenting with selective lesion within frontal, or cingulate, callosal, caudate, basal forebrain areas were evaluated. At the secondary stage, the analysis of the general intellectual capacities revealed a drop of performance, prominent on performance IQ, which was more severe than the learning deficit. Specific cognitive evaluations revealed increase of the execution time, but performance was relatively preserved: in the Stroop test, focused attention disorder was moderate: the modified Wisconsin Card Sorting test was correctly performed in most cases; significant deficits of verbal short-term memory, long-term verbal and visuo-spatial learning, and access to semantic memory were observed. At the late stage, general intellectual performance improved, but did not reached the estimated prelesional level in most cases; specific cognitive disorders had most often disappeared. Most performances were best explained by the severity of lesions in the left cingulate cortex and corpus callosum area. These results show that the cognitive profile of AACA patients is different from classical descriptions of the "amnesic syndrome", and is also different at the secondary and late stages; this evolution has to be taken into account in studies describing cognitive deficits of such patients, or comparing them with others presenting with "annesic syndrome".
Keywords
Adult, Aged, Aneurysm, Ruptured/complications, Aneurysm, Ruptured/pathology, Aneurysm, Ruptured/physiopathology, Brain/pathology, Cognition Disorders/etiology, Cognition Disorders/physiopathology, Cognition Disorders/psychology, Female, Humans, Intracranial Aneurysm/complications, Intracranial Aneurysm/pathology, Intracranial Aneurysm/physiopathology, Male, Middle Aged, Neuropsychological Tests, Time Factors
Pubmed
Web of science
Create date
04/05/2020 12:14
Last modification date
05/05/2020 5:26
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