Skip to main content
PMC home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1991 Oct;54(10):909–914. doi: 10.1136/jnnp.54.10.909

Long-term cognitive deficits in patients after surgery on aneurysms of the anterior communicating artery.

L M Stenhouse 1, R G Knight 1, B E Longmore 1, S N Bishara 1
PMCID: PMC1014577  PMID: 1744646

Abstract

The long term recovery of a series of 27 patients who had undergone rupture and repair of an aneurysm of the anterior communicating artery was assessed using a number of neuropsychological measures. Testing took place 12 to 84 months post surgery. On the basis of the results from tests of intellect, memory, and conceptual learning, three subgroups of patients were identified: those with persuasive cognitive defects, those with evidence of residual frontal lobe damage and those who showed no evidence of dysfunction. The occurrence of cerebral vasospasm was the most consistent predictor of long term cognitive deficit.

Full text

PDF
909

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander M. P., Freedman M. Amnesia after anterior communicating artery aneurysm rupture. Neurology. 1984 Jun;34(6):752–757. doi: 10.1212/wnl.34.6.752. [DOI] [PubMed] [Google Scholar]
  2. Bornstein R. A., Weir B. K., Petruk K. C., Disney L. B. Neuropsychological function in patients after subarachnoid hemorrhage. Neurosurgery. 1987 Nov;21(5):651–654. doi: 10.1227/00006123-198711000-00008. [DOI] [PubMed] [Google Scholar]
  3. Corkin S., Cohen N. J., Sullivan E. V., Clegg R. A., Rosen T. J., Ackerman R. H. Analyses of global memory impairments of different etiologies. Ann N Y Acad Sci. 1985;444:10–40. doi: 10.1111/j.1749-6632.1985.tb37577.x. [DOI] [PubMed] [Google Scholar]
  4. Crowell R. M., Morawetz R. B. The anterior communicating artery has significant branches. Stroke. 1977 Mar-Apr;8(2):272–273. doi: 10.1161/01.str.8.2.272. [DOI] [PubMed] [Google Scholar]
  5. Damasio A. R., Graff-Radford N. R., Eslinger P. J., Damasio H., Kassell N. Amnesia following basal forebrain lesions. Arch Neurol. 1985 Mar;42(3):263–271. doi: 10.1001/archneur.1985.04060030081013. [DOI] [PubMed] [Google Scholar]
  6. Gade A. Amnesia after operations on aneurysms of the anterior communicating artery. Surg Neurol. 1982 Jul;18(1):46–49. doi: 10.1016/0090-3019(82)90013-1. [DOI] [PubMed] [Google Scholar]
  7. Grubb R. L., Jr, Raichle M. E., Eichling J. O., Gado M. H. Effects of subarachnoid hemorrhage on cerebral blood volume, blood flow, and oxygen utilization in humans. J Neurosurg. 1977 Apr;46(4):446–453. doi: 10.3171/jns.1977.46.4.0446. [DOI] [PubMed] [Google Scholar]
  8. Hori S., Suzuki J. Early and late results of intracranial direct surgery of anterior communicating artery aneurysms. J Neurosurg. 1979 Apr;50(4):433–440. doi: 10.3171/jns.1979.50.4.0433. [DOI] [PubMed] [Google Scholar]
  9. Hunt W. E., Hess R. M. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg. 1968 Jan;28(1):14–20. doi: 10.3171/jns.1968.28.1.0014. [DOI] [PubMed] [Google Scholar]
  10. Levin H. S., Goldstein F. C., Ghostine S. Y., Weiner R. L., Crofford M. J., Eisenberg H. M. Hemispheric disconnection syndrome persisting after anterior cerebral artery aneurysm rupture. Neurosurgery. 1987 Dec;21(6):831–838. doi: 10.1227/00006123-198712000-00008. [DOI] [PubMed] [Google Scholar]
  11. Ljunggren B., Sonesson B., Säveland H., Brandt L. Cognitive impairment and adjustment in patients without neurological deficits after aneurysmal SAH and early operation. J Neurosurg. 1985 May;62(5):673–679. doi: 10.3171/jns.1985.62.5.0673. [DOI] [PubMed] [Google Scholar]
  12. Logue V., Durward M., Pratt R. T., Piercy M., Nixon W. L. The quality of survival after rupture of an anterior cerebral aneurysm. Br J Psychiatry. 1968 Feb;114(507):137–160. doi: 10.1192/bjp.114.507.137. [DOI] [PubMed] [Google Scholar]
  13. Longmore B. E., Knight R. G. The effect of intellectual deterioration on retention deficits in amnesic alcoholics. J Abnorm Psychol. 1988 Nov;97(4):448–454. doi: 10.1037//0021-843x.97.4.448. [DOI] [PubMed] [Google Scholar]
  14. Markowitsch H. J., Pritzel M. The neuropathology of amnesia. Prog Neurobiol. 1985;25(3):189–287. doi: 10.1016/0301-0082(85)90016-4. [DOI] [PubMed] [Google Scholar]
  15. Parkin A. J., Leng N. R., Stanhope N., Smith A. P. Memory impairment following ruptured aneurysm of the anterior communicating artery. Brain Cogn. 1988 Apr;7(2):231–243. doi: 10.1016/0278-2626(88)90032-2. [DOI] [PubMed] [Google Scholar]
  16. Perlmutter D., Rhoton A. L., Jr Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg. 1976 Sep;45(3):259–272. doi: 10.3171/jns.1976.45.3.0259. [DOI] [PubMed] [Google Scholar]
  17. Richardson J. T. Performance in free recall following rupture and repair of intracranial aneurysm. Brain Cogn. 1989 Mar;9(2):210–226. doi: 10.1016/0278-2626(89)90031-6. [DOI] [PubMed] [Google Scholar]
  18. Romner B., Sonesson B., Ljunggren B., Brandt L., Säveland H., Holtås S. Late magnetic resonance imaging related to neurobehavioral functioning after aneurysmal subarachnoid hemorrhage. Neurosurgery. 1989 Sep;25(3):390–397. doi: 10.1097/00006123-198909000-00012. [DOI] [PubMed] [Google Scholar]
  19. Sengupta R. P., Chiu J. S., Brierley H. Quality of survival following direct surgery for anterior communicating artery aneurysms. J Neurosurg. 1975 Jul;43(1):58–64. doi: 10.3171/jns.1975.43.1.0058. [DOI] [PubMed] [Google Scholar]
  20. Sonesson B., Ljunggren B., Säveland H., Brandt L. Cognition and adjustment after late and early operation for ruptured aneurysm. Neurosurgery. 1987 Sep;21(3):279–287. doi: 10.1227/00006123-198709000-00001. [DOI] [PubMed] [Google Scholar]
  21. Squire L. R. Comparisons between forms of amnesia: some deficits are unique to Korsakoff's syndrome. J Exp Psychol Learn Mem Cogn. 1982 Nov;8(6):560–571. doi: 10.1037//0278-7393.8.6.560. [DOI] [PubMed] [Google Scholar]
  22. Säveland H., Sonesson B., Ljunggren B., Brandt L., Uski T., Zygmunt S., Hindfelt B. Outcome evaluation following subarachnoid hemorrhage. J Neurosurg. 1986 Feb;64(2):191–196. doi: 10.3171/jns.1986.64.2.0191. [DOI] [PubMed] [Google Scholar]
  23. Teissier du Cros J., Lhermitte F. Neuropsychological analysis of ruptured saccular aneurysms of the anterior communicating artery after radical therapy (32 cases). Surg Neurol. 1984 Oct;22(4):353–359. doi: 10.1016/0090-3019(84)90139-3. [DOI] [PubMed] [Google Scholar]
  24. Vilkki J. Amnesic syndromes after surgery of anterior communicating artery aneurysms. Cortex. 1985 Sep;21(3):431–444. doi: 10.1016/s0010-9452(85)80007-1. [DOI] [PubMed] [Google Scholar]
  25. Vilkki J., Holst P., Ohman J., Servo A., Heiskanen O. Cognitive deficits related to computed tomographic findings after surgery for a ruptured intracranial aneurysm. Neurosurgery. 1989 Aug;25(2):166–172. doi: 10.1097/00006123-198908000-00003. [DOI] [PubMed] [Google Scholar]
  26. Volpe B. T., Hirst W. Amnesia following the rupture and repair of an anterior communicating artery aneurysm. J Neurol Neurosurg Psychiatry. 1983 Aug;46(8):704–709. doi: 10.1136/jnnp.46.8.704. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES