Asset Details
Do you wish to reserve the book?
Clinical outcome and neuropsychological deficits after right decompressive hemicraniectomy in MCA infarction
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Clinical outcome and neuropsychological deficits after right decompressive hemicraniectomy in MCA infarction
Do you wish to request the book?
Clinical outcome and neuropsychological deficits after right decompressive hemicraniectomy in MCA infarction
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Clinical outcome and neuropsychological deficits after right decompressive hemicraniectomy in MCA infarction
2002
Overview
The purpose of this study was to analyse in detail the functional outcome and the neuropsychological deficits in patients with space-occupying infarction of the non-dominant hemisphere one year after surgery.
Postoperative complications and retrospective consent to surgery were assessed in a semi-structured interview in 26 patients. Functional outcome was measured with the Barthel-Index (BI) and Rankin-Scale. Neuropsychological tests in 14 patients focused on visuo-spatial and visuo-constructive abilities, attention, spatial span and self-rated mood.
The one-year survival rate was 69 % (18 of 26). The functional outcome was good (BI >/= 90) in 3 patients, fairly good (BI 75-85) in 6, moderate (BI 30-70) in 6, and poor (BI 0-25) in 3 patients. Age was an independent predictor of outcome, patients above 52 years had a BI of 50 or below. Neuropsychological tests (14 of 18) showed profound attention deficits in all patients, and visuo-spatial and visuo-constructive deficits in patients with lower formal education. Retrospectively, 4 of 18 patients would not give consent to surgery again, mostly because of the bad quality of life postoperatively.
Older patients do not seem to benefit from decompressive hemicraniectomy; more than half of the surviving younger patients have a good outcome and live independently. Attention deficits are prominent in all patients; visuo-spatial and constructive deficits are less pronounced in patients with higher formal education. Retrospective agreement to decompressive hemicraniectomy is high in patients with good functional outcome.
Publisher
Springer,Springer Nature B.V
Subject
/ Adult
/ Aged
/ Biological and medical sciences
/ Craniotomy - adverse effects
/ Decompression, Surgical - adverse effects
/ Female
/ Humans
/ Infarction, Middle Cerebral Artery - complications
/ Infarction, Middle Cerebral Artery - mortality
/ Infarction, Middle Cerebral Artery - physiopathology
/ Infarction, Middle Cerebral Artery - surgery
/ Male
/ Postoperative Complications - etiology
/ Quality of Life - psychology
/ Vascular diseases and vascular malformations of the nervous system
