Document Detail


Executive dysfunction is related with decreased frontal lobe blood flow in patients with subarachnoid haemorrhage.
MedLine Citation:
PMID:  24144107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study evaluated executive dysfunction in patients with subarachnoid haemorrhage (SAH) using the Behavioural Assessment of the Dysexecutive Syndrome (BADS) and correlated the occurrence of executive dysfunction with cerebral blood flow (CBF) reduction in the frontal lobe as assessed by single photon emission computed tomography (SPECT).
DESIGN: Correlational study.
SUBJECTS: Twenty-two patients who underwent microsurgical clipping at least 3 months after SAH.
METHODS: This study evaluated the BADS and the Wechsler Adult Intelligence Scale-III (WAIS-III). In addition, it assessed activities of daily living (ADL). CBF was evaluated using SPECT. The patients were divided into the following groups according to the results of SPECT: (1) those with reduced CBF in the frontal lobe (reduced CBF group, n = 8) and (2) those with intact CBF (intact CBF group, n = 14).
RESULTS: The BADS score was significantly lower in the reduced CBF group compared with that of the intact CBF group, while there was no significant difference in the WAIS-III scores and ADL scale between the two groups.
CONCLUSION: Although this result was conducted with a small sample size, executive dysfunction correlates with reduced CBF in the frontal lobes of SAH patients. A detailed evaluation of executive function is suggested in SAH patients, even if the patient's intelligence test and ADL scale reveal no abnormalities.
Authors:
Ken Uchikawa; Makoto Inaba; Hiroshi Kagami; Shinya Ichimura; Toshiyuki Fujiwara; Tetsuya Tsuji; Yohei Otaka; Meigen Liu
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Publication Detail:
Type:  Journal Article; Review     Date:  2013-10-21
Journal Detail:
Title:  Brain injury     Volume:  28     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2014  
Date Detail:
Created Date:  2013-12-16     Completed Date:  2014-08-24     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  15-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Cerebrovascular Circulation*
Cognition Disorders / etiology,  psychology*
Executive Function*
Female
Frontal Lobe / blood supply*,  radionuclide imaging
Humans
Intelligence Tests
Male
Memory Disorders / etiology,  psychology*
Microsurgery
Middle Aged
Psychiatric Status Rating Scales
Severity of Illness Index
Subarachnoid Hemorrhage / complications,  psychology*,  radionuclide imaging
Tomography, Emission-Computed, Single-Photon*
Wechsler Scales

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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