caa a22 4500 477107486 CHVBK 20180405111558.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01411741 doi (NATIONALLICENCE)springer-10.1007/BF01411741 SPECT with technetium-99m-HMPAO in relation to late cognitive outcome after surgery for ruptured cerebral aneurysms [Elektronische Daten] [H. Säveland, T. Uski, H. Sjöholm, B. Sonesson, L. Brandt] Summary: Fifteen patients with a good neurological outcome after aneurysmal SAH and surgery were collected prospectively. Six months after surgery neurological examination and a SPECT study for evaluation of the three dimensional CBF distribution as well as an extensive neuropsychological test were performed. In all patients with pathological SPECT findings the location of the reduced regional CBF correlated with the location of the ruptured aneurysm and/or side of surgical approach. The volume of the brain tissue with reduced rCBF showed a great variety, from 9-112 cm3 (mean: 33 cm3). Similarly, the maximum flow reduction in the affected areas also varied considerably from 17-95% (mean: 39%). In general, the neuropsychological functioning of the patients post SAH was favourable. Seven individuals had a presumably normal neuropsychological appearance with respect to estimates of premorbid levels of functioning. Another four patients were slightly impaired and the remaining four were moderately affected. Only in five cases did the location of SPECT pathology and the site of neuropsychological impairment appear to coincide, whereas this was not the case in the remaining 10 patients. In general, the extent of SPECT pathology did not differ in the three neuropsychological outcome groups (normal, slight and moderate disability). Springer-Verlag, 1996 Aneurysmal subarachnoid haemorrhage nationallicence surgery nationallicence SPECT nationallicence cognitive outcome nationallicence Säveland H. Department of Neurosurgery, University Hospital, Lund, Sweden aut Uski T. Department of Neurosurgery, University Hospital, Lund, Sweden aut Sjöholm H. Department of Clinical Neurophysiology, University Hospital, Lund, Sweden aut Sonesson B. Department of Psychiatry, University Hospital, Lund, Sweden aut Brandt L. Department of Neurosurgery, University Hospital, Lund, Sweden aut Acta Neurochirurgica Springer-Verlag 138/3(1996-03-01), 301-307 0001-6268 138:3<301 1996 138 701 https://doi.org/10.1007/BF01411741 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411741 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Säveland H. Department of Neurosurgery, University Hospital, Lund, Sweden aut NATIONALLICENCE 700 1- Uski T. Department of Neurosurgery, University Hospital, Lund, Sweden aut NATIONALLICENCE 700 1- Sjöholm H. Department of Clinical Neurophysiology, University Hospital, Lund, Sweden aut NATIONALLICENCE 700 1- Sonesson B. Department of Psychiatry, University Hospital, Lund, Sweden aut NATIONALLICENCE 700 1- Brandt L. Department of Neurosurgery, University Hospital, Lund, Sweden aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/3(1996-03-01), 301-307 0001-6268 138:3<301 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer