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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 2002 Mar;72(3):334–337. doi: 10.1136/jnnp.72.3.334

Aneurysmal subarachnoid haemorrhage: outcomes of early rehabilitation after surgical repair of ruptured intracranial aneurysms

B Saciri 1, N Kos 1
PMCID: PMC1737797  PMID: 11861690

Abstract

Objectives: The aim was to analyse functional and cognitive outcomes in patients receiving early rehabilitation treatment after surgery for aneurysmal subarachnoid haemorrhage (SAH).

Methods: The assessment protocol included all relevant clinical data, the Hunt-Hess scale, the functional independence measure (FIM), and the mini mental state examination (MMSE).

Results: Of 59 patients included in the study, 52.5% (31) were men and 47.5% (28) were women. The patients' average age was 52 years, and 57.6% were employed at the time of the aneurysm rupture. The mean duration of hospital stay was 25 days; 67.8% (40) of the patients were discharged home. At discharge, 72.7% of the patients were without any motor impairment, but 59.6% showed cognitive impairment. By the time of discharge, 43.4% (23) of the patients had attained independence in activites of daily living, 18.9% (10) needed intermittent supervision, and 37.7% (20) required constant supervision in the performance of these activities.

Conclusions: The severity of cognitive impairment has predictive value for the functional status and the level of supervision required at discharge.

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Selected References

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

  1. Barbarotto R., De Santis A., Laiacona M., Basso A., Spagnoli D., Capitani E. Neuropsychological follow-up of patients operated for aneurysms of the middle cerebral artery and posterior communicating artery. Cortex. 1989 Jun;25(2):275–288. doi: 10.1016/s0010-9452(89)80043-7. [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. Clinchot D. M., Bogner J. A., Kaplan P. E. Cerebral aneurysms: analysis of rehabilitation outcomes. Arch Phys Med Rehabil. 1997 Apr;78(4):346–349. doi: 10.1016/s0003-9993(97)90223-9. [DOI] [PubMed] [Google Scholar]
  4. Clinchot D. M., Kaplan P., Murray D. M., Pease W. S. Cerebral aneurysms and arteriovenous malformations: implications for rehabilitation. Arch Phys Med Rehabil. 1994 Dec;75(12):1342–1351. [PubMed] [Google Scholar]
  5. Dombovy M. L., Drew-Cates J., Serdans R. Recovery and rehabilitation following subarachnoid haemorrhage. Part I: Outcome after inpatient rehabilitation. Brain Inj. 1998 Jun;12(6):443–454. doi: 10.1080/026990598122412. [DOI] [PubMed] [Google Scholar]
  6. Dombovy M. L., Drew-Cates J., Serdans R. Recovery and rehabilitation following subarachnoid haemorrhage: Part II. Long-term follow-up. Brain Inj. 1998 Oct;12(10):887–894. doi: 10.1080/026990598122106. [DOI] [PubMed] [Google Scholar]
  7. Fiedler R. C., Granger C. V. Uniform data system for medical rehabilitation: report of first admissions for 1996. Am J Phys Med Rehabil. 1998 Jan-Feb;77(1):69–75. [PubMed] [Google Scholar]
  8. Germanò A., Caruso G., Caffo M., Cacciola F., Belvedere M., Tisano A., Raffaele M., Tomasello F. Does subarachnoid blood extravasation per se induce long-term neuropsychological and cognitive alterations? Acta Neurochir (Wien) 1998;140(8):805–812. doi: 10.1007/s007010050182. [DOI] [PubMed] [Google Scholar]
  9. Hop J. W., Rinkel G. J., Algra A., van Gijn J. Quality of life in patients and partners after aneurysmal subarachnoid hemorrhage. Stroke. 1998 Apr;29(4):798–804. doi: 10.1161/01.str.29.4.798. [DOI] [PubMed] [Google Scholar]
  10. Hütter B. O., Kreitschmann-Andermahr I., Gilsbach J. M. Cognitive deficits in the acute stage after subarachnoid hemorrhage. Neurosurgery. 1998 Nov;43(5):1054–1065. doi: 10.1097/00006123-199811000-00030. [DOI] [PubMed] [Google Scholar]
  11. Hütter B. O., Kreitschmann-Andermahr I., Mayfrank L., Rohde V., Spetzger U., Gilsbach J. M. Functional outcome after aneurysmal subarachnoid hemorrhage. Acta Neurochir Suppl. 1999;72:157–174. doi: 10.1007/978-3-7091-6377-1_13. [DOI] [PubMed] [Google Scholar]
  12. Kaplan C. P., Corrigan J. D. The relationship between cognition and functional independence in adults with traumatic brain injury. Arch Phys Med Rehabil. 1994 Jun;75(6):643–647. doi: 10.1016/0003-9993(94)90186-4. [DOI] [PubMed] [Google Scholar]
  13. Laiacona M., De Santis A., Barbarotto R., Basso A., Spagnoli D., Capitani E. Neuropsychological follow-up of patients operated for aneurysms of anterior communicating artery. Cortex. 1989 Jun;25(2):261–273. doi: 10.1016/s0010-9452(89)80042-5. [DOI] [PubMed] [Google Scholar]
  14. Mayberg M. R., Batjer H. H., Dacey R., Diringer M., Haley E. C., Heros R. C., Sternau L. L., Torner J., Adams H. P., Jr, Feinberg W. Guidelines for the management of aneurysmal subarachnoid hemorrhage. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 1994 Nov;25(11):2315–2328. doi: 10.1161/01.str.25.11.2315. [DOI] [PubMed] [Google Scholar]
  15. Ogden J. A., Mee E. W., Henning M. A prospective study of impairment of cognition and memory and recovery after subarachnoid hemorrhage. Neurosurgery. 1993 Oct;33(4):572–587. doi: 10.1227/00006123-199310000-00004. [DOI] [PubMed] [Google Scholar]
  16. 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]
  17. Sonesson B., Säveland H., Ljunggren B., Brandt L. Cognitive functioning after subarachnoid haemorrhage of unknown origin. Acta Neurol Scand. 1989 Nov;80(5):400–410. doi: 10.1111/j.1600-0404.1989.tb03901.x. [DOI] [PubMed] [Google Scholar]
  18. Säveland H., Brandt L. Which are the major determinants for outcome in aneurysmal subarachnoid hemorrhage? A prospective total management study from a strictly unselected series. Acta Neurol Scand. 1994 Oct;90(4):245–250. doi: 10.1111/j.1600-0404.1994.tb02715.x. [DOI] [PubMed] [Google Scholar]
  19. Säveland H., Hillman J., Brandt L., Edner G., Jakobsson K. E., Algers G. Overall outcome in aneurysmal subarachnoid hemorrhage. A prospective study from neurosurgical units in Sweden during a 1-year period. J Neurosurg. 1992 May;76(5):729–734. doi: 10.3171/jns.1992.76.5.0729. [DOI] [PubMed] [Google Scholar]

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