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Neuropsychological Sequelae of Subarachnoid Hemorrhage and its Treatment

Cuvânt înainte de W. Seeger Autor B.O. Hütter Cuvânt înainte de K. Poeck
en Limba Engleză Paperback – 10 aug 2000
The first monograph dealing exclusively with the neuropsychological and psychosocial sequelae of subarachnoid hemorrhage (SAH) and its treatment. It provides an overview of basic treatment modalities and functional outcome after SAH with special emphasis on aneurysm surgery. In the methods section, neuropsychological, neuropsychiatric and capacity of daily life assessment issues in patients after SAH are reviewed, and the neuroanatomical basis of the neurobehavioral abnormalities after SAH is critically discussed. Furthermore, the frequently overseen aspects of psychological adjustment including quality of life after SAH, the hemorrhage as a psychological trauma, and rehabilitational issues are met in this book.
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Specificații

ISBN-13: 9783211834428
ISBN-10: 3211834427
Pagini: 200
Ilustrații: XVI, 178 p. 6 illus.
Dimensiuni: 170 x 244 x 11 mm
Greutate: 0.28 kg
Ediția:2000
Editura: SPRINGER VIENNA
Colecția Springer
Locul publicării:Vienna, Austria

Public țintă

Professional/practitioner

Descriere

The data about different aneurysm locations given in the present work clearly demonstrate that the quality and the severity of the neuropsycho­ logical impairments after subarachnoid hemorrhage are in particular dependent on the anatomical location and extent of the bleeding. In addition, the sometimes inevitable temporary clipping of perforating vessels seems to play a significant role with respect to later neuropsychological disturbances. Since modern aneurysm surgery is performed in the acute phase shortly after the hemorrhage, the findings reported in the present work are, according to my opinion, of particular relevance. In the light of the present intensive discussion about the indication for microneurosurgical clipping or neuroradiological interventional coiling of intracranial aneurysms, the results given here in by B. O. Hutter can be regarded as an argument for the surgical intervention, in particular because the extravasated blood can only be cleared by surgery. Therefore, this book may be an inspiration for the neurosurgical reader for a closer collaboration with psychologically trained scientists. This is important for all intracranial processes and not only for the topic of subarachnoid hemorrhage covered by this book.

Cuprins

Introduction Clinical appearance, pathology and diagnostics of subarachnoid hemorrhage (SAH) • Definition, epidemiology and etiology • Epidemiology of SAH as a result of the rupture of an aneurysm and of spontaneous SAH without a proven source of the bleeding • Pathophysiology of SAH • Clinical features of acute SAH • Diagnostics of acute SAH • The most common classification systems to assess the state of a patient and the severity of SAH • Natural course of SAH Therapy of SAH • General principles • Operative therapy of ruptured intracranial aneurysms • Postoperative mortality after aneurysm rupture Special aspects of the pathology and therapy of SAH • The importance of the anatomical distribution of an SAH • Intraventricular hemorrhage • Intracerebral hemorrhage Cerebral vasospasm after SAH Early surgery of patients grade IV or V after Hunt and Hess Neuropsychological sequelae of SAH • Early studies on the neuropsychological sequelae of SAH • The discrepancy between a good neurological state and the neuropsychological impairments in patients after SAH Basics of scientific research on the neuropsychological sequelae of subarachnoid hemorrhage • General methodological considerations • Strenghs and weakness of neuropsychological measures in patients after SAH • The measurement of health-related quality of life of patients after SAH by means of the Aachen Life Quality Inventory (ALQI) • Disturbances of affectivity and personality in patients after brain damage • The assessment of psychological adjustment after SAH by means of the revised Freiburger Personality Inventory (FPI-R) The pattern of cognitive deficits in the chronic state after subarachnoid hemorrhage • Impact on general intelligence • Cognitive deficits after SAH Neuropsychological effects of aneurysm location • Are there specific neurobehavioral sequelae depending on the localization of the ruptured aneurysm? • Disconnectionsyndromes after aneurysm rupture • Cognitive deficits after rupture and surgical treatment of an aneurysm of the ACoA Impairments in daily life after SAH Psychological adjustment and depression after SAH Ability to work and professional performance capacitiy in patients after SAH Neurobehavioral sequelae of SAH without a proven source of the bleeding in comparison to the sequelae of the rupture of an intracranial aneurysm • Comparison of the cognitive deficits in both patient groups • Comparison of the impairments in quality of life between operated patients and those with SAH without a proven source of the bleeding Neuropsychological sequelae of aneurysm surgery Neurobehavioral sequelae of the anatomical bleeding pattern Short- and long-term effects of disturbed CSF circulation after SAH Health-related quality of life in patients who had been in Hunt and Hess grades IV or V on admission to the neurosurgical unit Vasospasm: a risk factor for neuropsychological impairments after SAH? Prognostic factors of the neurobehavioral late result after SAH SAH as a psychological trauma Problems of rehabilitation of patients after SAH • Spontaneous functional regeneration after SAH • General elements of rehabilitation after SAH • Scientific studies on the effectiveness of neuropsychological rehabilitation measures in patients after SAH Closing discussion and outlook

Recenzii

"... Das Buch ist ... empfehlenswert für alle Ärzte und Vertreter anderer Disziplinen, die sich im Rahmen von medizinischer Versorgung, Rehabilitation oder Forschungstätigkeit mit SAB-Patienten befassen. Es liefert dem Leser fundierte Information und wertvolle Anregungen.” Der Nervenarzt 6/2001

Caracteristici

The quality of life after SAH is becoming more and more important
Provides a broad survey of the neuropsychological consequences
The author gives special attention to psychological trauma