LONG-TERM RESULTS OF THE MICROSURGICAL TREATMENT OF THE CEREBRAL ANEURYSM RUPTURES IN PATIENTS AT A COMPENSATED STATE
https://doi.org/10.25207/1608-6228-2018-25-3-129-132
Abstract
Aim. To study the severity of cognitive and psychoemotional disorders in the outcome of treatment of the patients with cerebral aneurysms ruptures, who were admitted in a compensated condition.
Materials and methods. 57 cases are analyzed in the article. These are the cases of patients who were operated on in an acute state of aneurysmal subarachnoid hemorrhage. The severity of their state when they were admitted was 1-3 according to the Hunt-Hess scale. Depending on the results of treatment, the patients were divided into 2 groups: the first included 37 patients with excellent immediate results of treatment on the inverted Glasgow outcome scale (GOS 1), the second included 20 patients with moderate and severe disability (GOS 2-3).
Results. The patients with moderate and severe disability as immediate results of treatment have a lower quality of life than patients with excellent results, due to the presence of severe headache, anxiety and depression disorders.
Conclusion. The decline in the quality of life of patients with moderate and severe disability as immediate results of treatment of the cerebral aneurysms ruptures requires a rehabilitation therapy.
About the Authors
L. V. SHAGAL
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
V. V. TKACHEV
Federal State Budgetary Healthcare Institution “Research Institute – Krasnodar Regional Hospital №1 named after Prof. S.V. Ochapovsky”
Russian Federation
1 Maya str., 167, Krasnodar, Russia, 350086.
Russian Federation
1 Maya str., 167, Krasnodar, Russia, 350086.
V. V. SHAGAL
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
I. S. BLUMENAU
Federal State Budgetary Healthcare Institution “Research Institute – Krasnodar Regional Hospital №1 named after Prof. S.V. Ochapovsky”
Russian Federation
1 Maya str., 167, Krasnodar, Russia, 350086.
Russian Federation
1 Maya str., 167, Krasnodar, Russia, 350086.
N. V. ZABOLOTSKIKH
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
G. G. MUZLAEV
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
Russian Federation
Sedina str., 4, Krasnodar, Russia, 350063
References
1. Krylov V.V. Microsurgery of cerebral aneurysms. Moscow; 2011. 536 s. (In Russ).
2. Szydełko M., Kwolek A., Druzbicki M. Results of rehabilitation in patients after subarachnoid haemorrhage from ruptured intracranial aneurysm and after surgical treatment. Neurol neurochir pol. 2008; 42(2): 116-122.
3. Mayberg M. R., Batjer H. H., Dacey R. et al. Guidelines for the management of aneurysmal subarachnoid hemorrage. A stayement of healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke.1994; 25(11): 2315-2328. DOI: 10.1161/01.str.25.11.2315
4. Buchanan K.M., Elias L.J., Goplen G.B. Differing perspectives on outcome after subarachnoid haemorrhage: the patient, the relative, the neurosurgeon. Neurosurgery. 2000; 46: 831-838. DOI: 10.1097/00006123-200004000-00012
5. Stabell K.E., Magnaes B. Neuropsychological coures after surgery for intracranial aneurysms. A prospective study and a critical review. Scand J Psychology. 1997; 38(2): 127-137. DOI: 10.1111/1467-9450.00018
6. Fauvage B., Canet C., Coppo F., et al. Long-term outcome of patients after aneurysmal SAH. Ann franesth reanim. 2007; 26(11): 959-964.
7. Bjeljac M., Keller E., Regard M., et al. Neurological and neuropsychological outcome after SAH. Acta neurochir suppl. 2002; 82: 83-85.
8. Haug T., Sorteberg A., Sorteberg W. et al. Surgical repair of unruptured and ruptured middle cerebral artery aneurysms: impact on cognitive functioning and health-related quality of life. Neurosurgery. 2009; 64(3): 412-422. DOI: 10.1227/01.neu.0000338952.13880.4e
9. Powell J., Kitchen N., Heslin J. et al. Psychosocial outcomes at 18 months after good neurological recovery from aneurysmal subarachnoid haemorrhage. J neurol neurosurg psychiatry. 2004; 75: 1119-1124. DOI: 10.1136/jnnp.2002.000414
10. Belousova O.B., Filatov Yu.M., Buklina S.B., Eliava Sh.Sh., Zolotukhin S.P., Nemtsov G.I. Catamnesis of patients operated in the acute state of cerebral aneurysm ruptures. Zhurnal voprosy nejrohirurgii im. akad. N.N.Burdenko. 2004; 3: 8-14. (In Russ).
11. Morris P.G., Wilson J.T., Dunn L. Anxiety and depression after spontaneous subarachnoid hemorrhage. Neurosurgery. 2004; 54(1): 47-54. DOI: 10.1227/01.neu.0000097198.94828.e1
12. Rocha-Filho P.A., Gherpelli J.L., De Siqueira J.T. et al. Post-craniotomy headache: characteristics, behaviour and effect on quality of life in patients operated for treatment of supratentorial intracranial aneurysms. Cephalalgia. 2008; 28(1): 41-48. DOI: 10.1111/j.1468-2982.2007.01465.x
13. Chen M., Mangubat E., Ouyang B. Patient-reported outcome measures for patients with cerebral aneurysms acquired via social media: data from a large nationwide sample. J neurointerv surg. 2014; 8(1): 42-46. DOI: 10.1136/neurintsurg-2014-011492
Review
For citations:
SHAGAL L.V., TKACHEV V.V., SHAGAL V.V., BLUMENAU I.S., ZABOLOTSKIKH N.V., MUZLAEV G.G. LONG-TERM RESULTS OF THE MICROSURGICAL TREATMENT OF THE CEREBRAL ANEURYSM RUPTURES IN PATIENTS AT A COMPENSATED STATE. Kuban Scientific Medical Bulletin. 2018;25(3):129-132. (In Russ.) https://doi.org/10.25207/1608-6228-2018-25-3-129-132
Views:
428
Email this article 