caa a22 4500 606214488 CHVBK 20210128101053.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00701-015-2451-3 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2451-3 Patient characteristics support unfavorable psychiatric outcome after treatment of unruptured intracranial aneurysms [Elektronische Daten] [H. Wenz, R. Wenz, G. Ehrlich, C. Groden, K. Schmieder, J. Fontana] Introduction: Previous studies demonstrated an unfavorable psychological outcome after treatment of unruptured intracranial aneurysms despite an objectively favorable clinical and radiological outcome. The current study was therefore designed to analyze the psychiatric vulnerability of this specific patient collective. Materials and methods: Patients treated for a WHO grade I meningioma and incidental intracranial aneurysms in two German neurosurgical centers between 2007 and 2013 were screened for exclusion criteria including malignant/chronic diseases, recurrence of the tumor/aneurysm after more than 12months and focal neurological deficits, among others. Seventy-five meningioma patients (M) and 56 incidental aneurysm patients (iA) met the inclusion criteria. The past medical psychiatric history, post-morbid personality characters and coping strategies were determined by questionnaires mailed to the patients in a printed version (Brief COPE, Big Five Personality Test). Results: Fifty-eightM and 45 iA patients returned the questionnaires. Patients with iA demonstrated significantly higher pre-interventional rates of depressive episodes (p = 0.002) and psychological supervision (p = 0.038). These findings were especially aggravated in iA patients who received their cranial imaging for unspecific symptoms such as dizziness, headaches or tinnitus (n = 33, history of depressions: 39.4%; previous psychological supervision: 33.3%). Furthermore, the analysis of the Big Five personality traits revealed remarkably elevated neuroticism scores in the iA collective. Conclusion: The current study demonstrates an increased rate of positive pre-interventional psychiatric histories in the iA collective. Although those patients represent only a small subgroup, they still may play an important role concerning the overall outcome after iA treatment. Early detection and psychological support in this subgroup might help to improve the overall outcome. Further studies are needed to evaluate the influence of this new aspect on the multifactorial etiology of unfavorable psychiatric outcome after treatment of iA. Springer-Verlag Wien, 2015 Intracranial aneurysm nationallicence Meningioma nationallicence Psychiatric outcome nationallicence Depression nationallicence Wenz H. Department of Neuroradiology, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Wenz R. Department of Neuroradiology, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Ehrlich G. Department of Neurosurgery, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany aut Groden C. Department of Neuroradiology, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Schmieder K. Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany aut Fontana J. Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany aut Acta Neurochirurgica Springer Vienna 157/7(2015-07-01), 1135-1145 0001-6268 157:7<1135 2015 157 701 https://doi.org/10.1007/s00701-015-2451-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2451-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wenz H. Department of Neuroradiology, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Wenz R. Department of Neuroradiology, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Ehrlich G. Department of Neurosurgery, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany aut NATIONALLICENCE 700 1- Groden C. Department of Neuroradiology, University Medicine Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Schmieder K. Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany aut NATIONALLICENCE 700 1- Fontana J. Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/7(2015-07-01), 1135-1145 0001-6268 157:7<1135 2015 157 701