Quality of life and cognitive deficits after subarachnoid haemorrhage

Br J Neurosurg. 1995;9(4):465-75. doi: 10.1080/02688699550041106.

Abstract

In a retrospective study of 58 patients after subarachnoid haemorrhage (SAH) with a late result either good (GOS = I) or fair (GOS = II), patients were examined 1-5 years after the acute event for their quality of life including a neuropsychological examination. Cognitive deficits were found in visual short-term memory (46%) and in the three parameters of a reaction-time task ranging from 31 to 65%. Further deficits were found in verbal long-term memory (28%), concentration (5-13%) and language (11%). The quality of life was reduced in the SAH patients according to a self-rating scale in motivation (50%), interests (47%), mental capacity (47%), free-time activities (52%), social relationships (39%), concentration (70%), fine motor co-ordination (25%) and sleep (47%). A further 77% of the patients reported more frequent headaches since their SAH. Depression was found in 30% of the SAH patients. Life-satisfaction was significantly reduced in 37%, whereas 48% of the SAH patients suffered from increased emotional lability and in 41% motivation was significantly reduced. Negative job consequences like loss of job or demotion were reported by 16% of the patients investigated and an additional 15% had been retired.

MeSH terms

  • Activities of Daily Living / psychology
  • Adult
  • Aneurysm, Ruptured / diagnosis
  • Aneurysm, Ruptured / psychology
  • Aneurysm, Ruptured / surgery*
  • Aphasia / diagnosis
  • Aphasia / psychology
  • Attention / physiology
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Intracranial Aneurysm / diagnosis
  • Intracranial Aneurysm / psychology
  • Intracranial Aneurysm / surgery*
  • Male
  • Memory, Short-Term / physiology
  • Middle Aged
  • Neurologic Examination
  • Neuropsychological Tests*
  • Patient Satisfaction
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / psychology
  • Psychomotor Performance / physiology
  • Quality of Life*
  • Reaction Time / physiology
  • Retention, Psychology / physiology
  • Subarachnoid Hemorrhage / diagnosis
  • Subarachnoid Hemorrhage / psychology
  • Subarachnoid Hemorrhage / surgery*