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

Zweifel-Zehnder, Antoinette E. and Stienen, Martin N. and Chicherio, Christian and Studerus-Germann, Aline and Bläsi, Stefan and Rossi, Stefania and Gutbrod, Klemens and Schmid, Nicole and Beaud, Valérie and Mondadori, Christian and Brugger, Peter and Sacco, Leonardo and Müri, Rene and Hildebrandt, Gerhard and Fournier, Jean-Yves and Keller, Emanuela and Regli, Luca and Fandino, Javier and Mariani, Luigi and Raabe, Andreas and Daniel, Roy Thomas and Reinert, Michael and Robert, Thomas and Schatlo, Bawarjan and Bijlenga, Philippe and Schaller, Karl and Monsch, Andreas U. and Swiss SOS study group, . (2015) Call for uniform neuropsychological assessment after aneurysmal subarachnoid hemorrhage: Swiss recommendations. Acta Neurochirurgica , 157 (9). pp. 1449-1458.

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Official URL: https://edoc.unibas.ch/61970/

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Abstract

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.; 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.; 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.; 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.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Geriatrie > Geriatrie (Kressig)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Geriatrie > Geriatrie (Kressig)
03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Kopfbereich > Neurochirurgie (Mariani)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Kopfbereich > Neurochirurgie (Mariani)
07 Faculty of Psychology > Departement Psychologie
UniBasel Contributors:Monsch, Andreas U. U and Mariani, Luigi
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Springer
ISSN:0001-6268
e-ISSN:0942-0940
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:13 Nov 2018 19:16
Deposited On:13 Nov 2018 19:16

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