Differing Perspectives on Outcome after Subarachnoid Hemorrhage: The Patient, the Relative, the Neurosurgeon

Buchanan, Karin M.; Elias, Lorin; Goplen, Gary B.

doi:10.1227/00006123-200004000-00012

Cited by 37 publications

(56 citation statements)

References 36 publications

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“…32,45,61,70 -74 Other studies have found less favorable results, demonstrating that only 6% to 17% of patients return to their previous occupation. 69,75,76 Some patients return to jobs with less responsibility, and oftentimes patients must work fewer hours as a result of fatigue and cognitive difficulties. 72,73,[75][76][77] Return to work and working ability are also influenced by the location of brain lesions.…”

Section: Return To Workmentioning

confidence: 99%

“…69,75,76 Some patients return to jobs with less responsibility, and oftentimes patients must work fewer hours as a result of fatigue and cognitive difficulties. 72,73,[75][76][77] Return to work and working ability are also influenced by the location of brain lesions. Vilkki and colleagues 32 found that left hemisphere lesions from aSAH were associated with failure to return to work and significantly reduced working ability.…”

Section: Return To Workmentioning

confidence: 99%

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Cognitive and Functional Outcome After Aneurysmal Subarachnoid Hemorrhage

Al-Khindi

Macdonald

Schweizer

2010

Stroke

665

478

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Background and Purpose-Aneurysmal subarachnoid hemorrhage (aSAH) is a medical emergency characterized by the accumulation of blood in the subarachnoid space surrounding the brain. The acute treatment of aSAH is well documented but less is known about the long-term effects of aSAH on cognition and day-to-day functioning. Methods-We reviewed all studies in the past 10 years that have focused on the effects of aSAH on cognition and day-to-day functioning. Results-Sixty-one empirical studies examining cognitive and functional outcome in patients with aSAH met inclusion criteria. Survivors of aSAH commonly experience deficits in memory, executive function, and language. These cognitive impairments interact to affect patients' day-to-day functioning, including activities of daily living, instrumental activities of daily living, return to work, and quality of life. Deficits in cognition and day-to-day functioning are further compounded by depression, anxiety, fatigue, and sleep disturbances. Conclusions-Much remains to be learned about the brain changes underlying cognitive and functional deficits, including the role of diffuse brain damage and secondary complications like vasospasm and elevated intracranial pressure. A consideration of these issues is necessary to obtain a better understanding of how aSAH affects cognition and day-to-day functioning in the long-term. (Stroke. 2010;41:e519-e536.)

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Section: Return To Workmentioning

confidence: 99%

Section: Return To Workmentioning

confidence: 99%

Cognitive and Functional Outcome After Aneurysmal Subarachnoid Hemorrhage

Al-Khindi

Macdonald

Schweizer

2010

Stroke

665

478

View full text Add to dashboard Cite

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“…There are a few examples of groups consulting with patients or their families to determine what aspects of recovery are a priority or should be measured to indicate success, as well as to identify concerns in recovery 8 . When examined, significant differences in recovery preferences and perceptions have been identified, with patients placing greater value on activities of daily living such as eating, bathing and toileting while clinicians valued cognitive activities such as expression, comprehension and memory 11 or with patients and relatives perceiving greater compromise than clinicians 12 . Further, there is evidence that indicators of successful recovery change over time with the number of concerns being greatest 1 to 4 weeks after hospital discharge, and focusing on practical issues at this time 13,14 .…”

Section: Introductionmentioning

confidence: 99%

Indicators of injury recovery identified by patients, family members and clinicians

Aitken

Chaboyer

Jeffrey

et al. 2016

Injury

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S.Indicators of injury recovery identified by patients, family members and clinicians.Injury http://dx.doi.org/10. 1016/j.injury.2016.10.006 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…were left with permanent neurologic impairment or even died [2][3][4][5] . Despite extensive clinical and experimental studies, the pathogenesis of cerebra vasospasm is still controversial and poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Effect of cervical sympathetic block on cerebral vasospasm after subarachnoid hemorrhage in rabbits

Liu

et al. 2013

Acta Cir. Bras.

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PURPOSE:Cerebral vasospasm (CVS) is a major complication after subarachnoid hemorrhage (SAH) induced by the rupture of intracranial aneurysms. The aim of the present study was to investigate the effect and mechanism of cervical sympathetic block on cerebral vasospasm of the rabbits after SAH. METHODS:After successful modeling of cervical sympathetic block, 18 healthy male white rabbits were randomly divided into three groups (n=6), ie, sham operation group (Group A), SAH group (Group B) and SAH with cervical sympathetic block group (Group C).Models of delayed CVS were established by puncturing cisterna magna twice with an injection of autologous arterial blood in Groups B and C. A sham injection of blood through cisterna magna was made in Group A. 0.5 ml saline was injected each time through a catheter for cervical sympathetic block after the first injection of blood three times a day for 3 d in Group B (bilateral alternating). 0.5 ml of 0.25% bupivacaine was injected each time through a catheter for cervical sympathetic block after the first injection of blood three times a day for 7 d in Group B. 2 ml venous blood and cerebrospinal fluid were obtained before (T1), 30 min (T2) and 7 d (T3) after the first injection of blood, respectively, and conserved in a low temperature refrigerator. Basilar artery value at T1, T2 and T3 was measured via cerebral angiography. The degree of damage to nervous system at T1 and T3 was recorded. RESULTS:There was no significant difference in diameter of basilar artery at T1 among three groups. The diameters of basilar artery at T2 and T3 of Groups B and C were all smaller than that in Group A, which was smaller than Group C, with a significant difference.There was no significant difference in NO and NOS in plasma and cerebrospinal fluid among three groups. The NO and NOS contents at T2 and T3 of Groups B and C were all lower than Group A; Group C was higher than Group B, with a significant difference. The nerve function at T3 of Groups B and C were all lower than Group A and that of Group C higher than Group B, with a significant difference. CONCLUSION:Cervical sympathetic block can relieve cerebral vasospasm after subarachnoid hemorrhage and increase NO content and NOS activity in plasma and cerebrospinal fluid to promote neural functional recovery.

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Differing Perspectives on Outcome after Subarachnoid Hemorrhage: The Patient, the Relative, the Neurosurgeon

Cited by 37 publications

References 36 publications

Cognitive and Functional Outcome After Aneurysmal Subarachnoid Hemorrhage

Cognitive and Functional Outcome After Aneurysmal Subarachnoid Hemorrhage

Indicators of injury recovery identified by patients, family members and clinicians

Effect of cervical sympathetic block on cerebral vasospasm after subarachnoid hemorrhage in rabbits

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