Neurological Outcome, Mental Fatigue, and Occurrence of Aneurysms >15 Years After Aneurysmal Subarachnoid Hemorrhage
| Autor: | Alexandros Rentzos, Asgeir Store Jakola, Daniel Nilsson, Hugo Jakobsson, Jennifer Samuelsson |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Subarachnoid hemorrhage Endpoint Determination Mental fatigue De novo aneurysm Neurosurgical Procedures Magnetic resonance angiography 03 medical and health sciences 0302 clinical medicine Aneurysm Recurrence Modified Rankin Scale Humans Medicine In patient Aged Cerebral Revascularization medicine.diagnostic_test business.industry Incidence Endovascular Procedures Middle Aged Subarachnoid Hemorrhage Mental Fatigue medicine.disease Magnetic Resonance Imaging Treatment Outcome 030220 oncology & carcinogenesis Radiological weapon Female Surgery Neurology (clinical) business human activities Magnetic Resonance Angiography 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | World Neurosurgery. 151:e122-e127 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2021.03.148 |
| Popis: | Long-term data on neurological and radiological outcome after aneurysmal subarachnoid hemorrhage (aSAH) are scarce. The aim of this study was to report neurological and radiological outcome15 years after aSAH.Patients with aSAH who were randomly assigned to endovascular treatment (EVT) or microsurgical treatment (MST) during 1997-2001 were included. Main end points were neurological outcome assessed by modified Rankin Scale, fatigue assessed by mental fatigue scale, and radiological outcome assessed by magnetic resonance angiography. Results for mental fatigue scale were compared with a control group.After 15-21 years, 46 (62.2%) of the 74 survivors replied to a questionnaire. Of these patients, 18 received MST, and 28 received EVT. Modified Rankin Scale score of 0-2 was found in 100% of patients in the EVT group and 88.8% of patients in the MST group. Moderate or severe mental fatigue was found in 7/28 patients (25%) in the EVT group and 7/18 patients (38.8%) in the MST group (P0.05), whereas moderate or severe mental fatigue was observed in 3/34 patients (8.9%) in the control group. Magnetic resonance angiography was performed in 29 patients. In the EVT group, new neck remnants were found in 2/16 patients (12.5%), and de novo aneurysm was found in 2/16 patients (12.5%). In the MST group, de novo aneurysm was found in 1/13 patients (7.7%).Neurological outcome at long-term follow-up after aSAH was good; however, mental fatigue was overrepresented in patients compared with healthy control subjects regardless of treatment modality. Residual or de novo aneurysm was found in 17% of patients warranting radiological long-term follow-up. |
| Databáze: | OpenAIRE |
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