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• W2978939446 abstract "Limited focus has been placed on neuropsychological patient profiles after spontaneous subarachnoid hemorrhage (sSAH). We conducted a prospective controlled study in good-grade sSAH patients to evaluate the time course of treatment-specific differences in cognitive processing after sSAH.Twenty-six consecutive sSAH patients were enrolled (drop out n=5). Nine patients received endovascular aneurysm occlusion (EV), 6 patients were treated microsurgically (MS), and 6 patients with perimesencephalic SAH (pSAH) underwent standardized intensive medical care. No patient experienced serious vasospasm-related ischemic or hemorrhagic complications. All patients were subjected to neuropsychological self-report assessment (36-Item Short Form Health Survey and ICD-10-Symptom-Rating questionnaire) subacutely (day 11 - 35) after the onset of bleeding (t1) and at the 6-month follow-up (FU; t < sub > 2 < /sub > ).From t1 to t < sub > 2 < /sub > , MS and EV patients significantly improved in physical functioning (Pfi; p=.001 each) and the physical component summary (p=.010 vs. p=.015). Bodily pain (Pain; MS p=.034) and general health perceptions (EV p=.014) significantly improved, and nutrition disorder (EV p=.008) worsened. At FU, MS patients reported significantly better Pfi (vs. EV p=.046), less Pain (vs. EV p=.040), and more depression (vs. pSAH p=.035). Group-rate analyses of test differences showed a significant alleviation in nutrition disorder in MS (vs. EV p=.009).All sSAH groups reported a significant deterioration in health. Though both MS and EV patients, improved in several physical items over time, our data suggest a better short-term Pfi, less Pain and improved nutrition disorder in surgically treated patients. pSAH patients performed significantly better in various aspects of physical and psychological functioning than patients with aneurysmal SAH." @default.
• W2978939446 created "2019-10-10" @default.
• W2978939446 creator A5008532205 @default.
• W2978939446 creator A5016206069 @default.
• W2978939446 creator A5030196025 @default.
• W2978939446 creator A5061837315 @default.
• W2978939446 creator A5064671172 @default.
• W2978939446 creator A5071819361 @default.
• W2978939446 creator A5080934918 @default.
• W2978939446 creator A5083485926 @default.
• W2978939446 date "2017-01-01" @default.
• W2978939446 modified "2023-10-17" @default.
• W2978939446 title "Treatment of spontaneous subarachnoid hemorrhage and self-reported neuropsychological performance at 6 months &#8211; results of a prospective clinical pilot study on good-grade patients" @default.
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