Call for uniform neuropsychological assessment after aneurysmal subarachnoid hemorrhage: Swiss recommendations.

Zweifel-Zehnder, Antoinette E; Stienen, Martin N; Chicherio, Christian; Studerus-Germann, Aline; Bläsi, Stefan; Rossi, Stefania; Gutbrod, Klemens; Schmid, Nicole; Beaud, Valérie; Mondadori, Christian; Brugger, Peter; Sacco, Leonardo; Müri, René Martin; Hildebrandt, Gerhard; Fournier, Jean-Yves; Keller, Emanuela; Regli, Luca; Fandino, Javier; Mariani, Luigi; Raabe, Andreas; ... (2015). Call for uniform neuropsychological assessment after aneurysmal subarachnoid hemorrhage: Swiss recommendations. Acta neurochirurgica, 157(9), pp. 1449-1458. Springer 10.1007/s00701-015-2480-y

[img] Text
Zweifel_ActaNeuroch_2015.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (486kB) | Request a copy

BACKGROUND In a high proportion of patients with favorable outcome after aneurysmal subarachnoid hemorrhage (aSAH), neuropsychological deficits, depression, anxiety, and fatigue are responsible for the inability to return to their regular premorbid life and pursue their professional careers. These problems often remain unrecognized, as no recommendations concerning a standardized comprehensive assessment have yet found entry into clinical routines. METHODS To establish a nationwide standard concerning a comprehensive assessment after aSAH, representatives of all neuropsychological and neurosurgical departments of those eight Swiss centers treating acute aSAH have agreed on a common protocol. In addition, a battery of questionnaires and neuropsychological tests was selected, optimally suited to the deficits found most prevalent in aSAH patients that was available in different languages and standardized. RESULTS We propose a baseline inpatient neuropsychological screening using the Montreal Cognitive Assessment (MoCA) between days 14 and 28 after aSAH. In an outpatient setting at 3 and 12 months after bleeding, we recommend a neuropsychological examination, testing all relevant domains including attention, speed of information processing, executive functions, verbal and visual learning/memory, language, visuo-perceptual abilities, and premorbid intelligence. In addition, a detailed assessment capturing anxiety, depression, fatigue, symptoms of frontal lobe affection, and quality of life should be performed. CONCLUSIONS This standardized neuropsychological assessment will lead to a more comprehensive assessment of the patient, facilitate the detection and subsequent treatment of previously unrecognized but relevant impairments, and help to determine the incidence, characteristics, modifiable risk factors, and the clinical course of these impairments after aSAH.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Gutbrod, Klemens; Müri, René Martin; Fandino, Javier; Mariani, Luigi; Raabe, Andreas and Reinert, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0001-6268

Publisher:

Springer

Language:

English

Submitter:

Valentina Rossetti

Date Deposited:

02 Oct 2015 09:38

Last Modified:

10 Nov 2016 10:37

Publisher DOI:

10.1007/s00701-015-2480-y

PubMed ID:

26179382

BORIS DOI:

10.7892/boris.72090

URI:

https://boris.unibe.ch/id/eprint/72090

Actions (login required)

Edit item Edit item
Provide Feedback