Cognitive function, depression, and quality of life in patients with ruptured cerebral aneurysms

Zabyhian, Samira; Mousavi-Bayegi, Seyed Javad; Baharvahdat, Humain; Farıdhosseını, Farhad; Sasannejad, Payam; Salehi, Maryam; Boroumand, Maryam; Hatefipour, Zahra

doi:10.18502/ijnl.v17i3.368

Cited by 4 publications

(3 citation statements)

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“…Signi cant differences were observed in MoCA scores at 2 weeks and 1 month among the 5 groups, with signi cant differences between the right basal ganglia hemorrhage (BGH) group and cerebellar hemorrhage group at 2 weeks, indicating that BGH contributes more to cognitive impairment. Our ndings are consistent with previous studies suggesting that right basal ganglia damage impairs cognitive function by disrupting brain circuits and speci c cognitive abilities 13,17,18 . Nerve projection bers in the BG region through the anterior limb of the internal capsule are the frontopontine tract and anterior thalamic radiation, and damage to the BG interrupts the subcortical circulation of both the frontal and parietal lobes, leading to cognitive changes.…”

Section: Discussionsupporting

confidence: 93%

Analyzing Factors that Influence Depression and Cognitive Dysfunction Following Cerebral Hemorrhage Surgery

Wen,

Zhang,

Niu

et al. 2023

Preprint

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Objective This study aimed to identify the factors influencing depression and cognitive dysfunction in hypertensive patients after surgery for cerebral haemorrhage. Methods A total of 94 patients who underwent surgery were included, and their demographic information, pre- and post-surgical haemorrhagic data, and psychological assessments were collected. Results At 2 weeks post-surgery, the HAMD score for the right Basal Ganglia Haemorrhage (BGH) group was significantly higher than that of the right Basal Ganglia Breaking into Ventricular Haemorrhage (BGBVH), Ventricular Infarction and Haemorrhage (VIH), or Cerebellar Haemorrhage (CLH) groups (all P < 0.05). At 3 months, there was a significant difference in HAMD score between the high-risk right BGH and the low-risk VIH groups (P = 0.023). There was a correlation between Functional Independence Measure (FMA) ,Activities of Daily Living (ADL) and HAMD scores, as well as a linear relationship between Glasgow Coma Scale (GCS)/ADL scores and Mini-Mental State Examination (MMSE) scores, and a linear relationship between haemorrhage location, ADL score, and Montreal Cognitive Assessment (MoCA) scores. Conclusion The primary factor contributing to depression in patients with intracerebral haemorrhage (ICH) is the decrease in ADL and FMA scores after surgery. Additionally, ADL, GCS, surgical methods and bleeding sites can affect the cognitive function of patients.

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Section: Discussionsupporting

confidence: 93%

Analyzing Factors that Influence Depression and Cognitive Dysfunction Following Cerebral Hemorrhage Surgery

Wen,

Zhang,

Niu

et al. 2023

Preprint

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“…A subarachnoid haemorrhage (SAH) can cause diverse symptoms for the individual, ranging from no to severe consequences, which is comparable to other types of stroke. However, the long‐term consequences described up to 4 years after SAH differ, and most SAH survivors have few physical symptoms and manage to complete their activities of daily living (ADL), but they still have several other symptoms that may affect their quality of life .…”

Section: Introductionmentioning

confidence: 99%

Symptoms and consequences of subarachnoid haemorrhage after 7 years

et al. 2019

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Objectives Short‐term follow‐up studies after a subarachnoid haemorrhage (SAH) have shown impaired cognition, fatigue, depression and anxiety, but less is known regarding long‐term consequences. The aim of this study was to investigate health outcomes in persons 7 years after SAH. Materials and Methods This is a descriptive cohort follow‐up study of persons with non‐traumatic SAH treated at Sahlgrenska University Hospital, Gothenburg, Sweden. The follow‐up was conducted 7 years post‐treatment and included home visits using forms and questionnaires about health outcomes; the Barthel Index (BI), modified Rankin Scale (mRS), National Institutes of Health Stroke Scale (NIHSS), Hospital Anxiety and Depression Scale (HADS), Montreal Cognitive Assessment (MoCA) and Multidimensional Fatigue Inventory (MFI). Results Seven years post‐SAH, 33 persons fulfilled the inclusion criteria, of whom 18 (55%) participated (median age 63 years). Cognitive impairment was present in 11 participants, assessed with the MoCA, where the item of delayed recall was most difficult. The majority (n = 16) were independent in activities of daily living (ADL), and few (n = 3) had physical symptoms according to the NIHSS. However, three participants were free from disability according to the mRS. Nearly, half of the participants had symptoms of anxiety (n = 8). Three had symptoms of depression and more than half experienced fatigue. Conclusion The physical function and independency in ADL is high among long‐term SAH survivors. Despite this, only a few were completely free from disability, and the main problems 7 years after SAH were cognitive impairment and anxiety.

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“…An Iranian study on cognitive function, depression, and QoL in patients with aSAH reported that 57% and 55% of the patients developed cognitive impairment and depression, respectively. Additionally, age was positively correlated with the risk of post-SAH cognitive impairment, and SAH had long-term effects including, but not limited to, the inability of patients to return to work and integrate into society [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Description of the Quality of Life of Patients With Subarachnoid Hemorrhage at King Abdulaziz University Hospital in Jeddah

Banjar,

Alyousef,

Almohammady

et al. 2023

Cureus

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Objective Stroke is a serious medical condition that causes long-term morbidity and disability. There are two types of stroke, i.e., ischemic and hemorrhagic stroke. Subarachnoid hemorrhage (SAH) accounts for 5% of all stroke cases worldwide. Stroke survivors may experience cognitive dysfunction in many forms. Evidence regarding the quality of life (QoL) of patients post-SAH in the Middle East is limited. Therefore, this study aims to describe the quality of life in patients with SAH at the King Abdulaziz University Hospital (KAUH) in Jeddah, Saudi Arabia, from April 2021 to October 2021. Methods We included patients who were diagnosed with SAH ≤ 10 years prior at our hospital and were admitted within 72 hours of the ictus. Patients were included using non-probability convenience sampling without randomization. We collected the Glasgow Coma Scale (GCS), World Federation of Neurosurgeons (WFNS), and Modified Glasgow Outcome Scale (MGOS) scores. Results We included 48 patients (mean age: 49.78 ± 19.44 years, male proportion: 62.5%). More than 50% of the participants had comorbidities. The mean baseline GCS, WFNS, and MGOS scores at admission were 12.62 ± 3.56, 2.19 ± 1.54, and 3.58 ± 1.67, respectively. Women had significantly higher MGOS scores than men (p ≤ 0.05). Death was significantly associated with low MGOS scores (p ≤ 0.05). Age showed a non-significant negative correlation with the MGOS score (r = - 0.17, p-value = 0.24). Finally, the MGOS score was significantly correlated with the baseline GCS and WFNS scores at admission (r = 0.68 and r = - 0.67, respectively). Conclusion Our findings demonstrated that a low MGOS score, which indicates more comorbidities, greatly affects the quality of life of patients with SAH. Moreover, the baseline GCS score was the best prognostic predictor for patients with SAH.

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Cognitive function, depression, and quality of life in patients with ruptured cerebral aneurysms

Cited by 4 publications

References 44 publications

Analyzing Factors that Influence Depression and Cognitive Dysfunction Following Cerebral Hemorrhage Surgery

Analyzing Factors that Influence Depression and Cognitive Dysfunction Following Cerebral Hemorrhage Surgery

Symptoms and consequences of subarachnoid haemorrhage after 7 years

Description of the Quality of Life of Patients With Subarachnoid Hemorrhage at King Abdulaziz University Hospital in Jeddah

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