Table 3

Neurocognitive test scores at baseline, three, and 12 months after surgery (mean/SD) and number of patients displaying test score changes of two or more standard deviations from three to 12 months and baseline to 12 months

BaselineThree months after surgeryTwelve months after surgeryImprovementDecline
>2 SD>2 SD
3-12B-123-12B-12
*Lower score is better; Bonferroni p≤0.05 baseline to three months, Bonferroni p≤0.05 baseline to 12 months, §Bonferroni p≤0.05 3 to 12 months.
Cognitive screening (n=40)
Mattis Dementia Rating Scale
    Attention (/37)34.80 (2.14)35.20 (1.67)34.63 (2.54)4242
    Initiation/Perseveration (37)33.75 (3.75)34.87 (3.57)34.85 (3.75)3622
    Construction (/6)† ‡4.40 (2.13)5.55 (0.85)5.57 (1.11)41441
    Conceptualisation (/39)§33.95 (3.53)33.60 (3.48)34.82 (3.35)5200
    Memory (/25)22.92 (1.70)23.38 (1.64)23.23 (2.63)1021
Simple attention (n=37)
Wechsler Memory Scale-Revised
    Mental control (6)5.00 (1.08)5.05 (1.15)5.08 (1.30)1011
    Digit span forward (/12)7.70 (1.97)7.97 (1.94)8.03 (2.17)0010
    Digit span backward (/12)5.57 (1.80)5.22 (1.69)5.62 (1.93)1000
    Visual span forward (/14)7.73 (1.64)8.05 (1.72)7.95 (1.99)2241
    Visual span backward (/12)6.70 (1.58)7.38 (1.64)7.22 (1.75)0200
Complex attention (n=30)
Brief Test of Attention (/20)13.23 (4.00)12.97 (4.60)13.33 (4.03)1100
Stroop Neuropsychological Screening Test
    Colour (/112)111.83 (0.46)111.87 (0.35)109.13 (15.14)3333
    Colour-word (/112)73.67 (23.85)75.67 (24.27)74.97 (26.14)0100
Executive function (n=32)
Wisconsin Card Sorting Test
    Categories (/6)4.22 (1.96)4.09 (2.05)4.44 (1.97)1101
    Trials to first category (max 128)*23.00 (31.09)22.50 (29.79)20.12 (22.90)1222
    Perseverative responses*29.16 (27.10)26.62 (21.51)27.59 (23.25)0211
    Failure to maintain set*1.03 (1.20)1.44 (1.41)0.91 (1.30)6421
Cognitive Estimation Test
    Deviation Score (/10)*4.22 (1.81)4.31 (1.96)4.06 (1.83)1111
Language (n=40)
Semantic (category) fluency
    (z score)−0.71 (1.00)−0.75 (1.09)−0.76 (1.13)2104
    (raw score)14.22 (4.86)14.03 (4.66)12.98 (3.79)
Lexical (letter) fluency
    (z score)−0.99 (0.83)−1.12 (0.85)−1.18 (1.01)0000
    (raw score)30.38 (9.96)28.40 (10.23)28.10 (12.44)
Boston Naming Test (/60)51.70 (7.56)51.43 (10.53)53.53 (5.41)1200
Fine visuomotor coordination (n=29)
Grooved pegboard
    Dominant hand (t score)† ‡26.41 (8.97)34.00 (8.20)32.10 (8.06)0200
    Non-dominant hand (t score)30.90 (10.50)31.52 (10.17)31.00 (9.72)0011
Visuoperception (n=34)
Benton Facial Recognition (/54)43.53 (5.73)45.00 (3.93)44.18 (4.44)1220
Hooper Visual Organisation Test (/30)† ‡24.03 (3.61)25.26 (2.05)25.59 (3.02)0000
Visual memory (n=34)
Wechsler Memory Scale-Revised
    Figural memory (/10)6.32 (1.39)6.76 (1.60)6.18 (1.36)1022
Verbal memory (n=35)
California Verbal Learning Test
    Total immediate (trials 1–5)
    (t score)‡ §42.89 (12.13)43.54 (10.79)48.43 (12.17)2200
    Short delay free recall (/16)7.77 (2.82)8.31 (3.27)8.86 (3.00)6230
    Long delay free recall (/16)8.23 (3.27)9.06 (3.07)9.43 (3.01)1610
    Recognition hits (/16)† ‡13.77 (1.88)14.77 (1.06)14.86 (1.14)0510
Wechsler Memory Scale-Revised
    Logical memory-immediate (/50)22.77 (7.20)23.74 (7.43)24.66 (6.23)0000
    Logical memory-delayed (/50)17.09 (7.36)20.23 (9.01)20.97 (7.10)0000