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Effects of preventive surgery for unruptured intracranial aneurysms on attention, executive function, learning and memory: a prospective cohort study

DC Field Value Language
dc.contributor.author김용배-
dc.contributor.author정준호-
dc.contributor.author주진양-
dc.contributor.author홍창기-
dc.contributor.author석정호-
dc.date.accessioned2017-02-24T07:30:26Z-
dc.date.available2017-02-24T07:30:26Z-
dc.date.issued2016-
dc.identifier.issn0001-6268-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146441-
dc.description.abstractBACKGROUND: We prospectively evaluated the effects of preventive surgery for unruptured intracranial aneurysms on attention, executive function, learning and memory. METHODS: Between March 2012 and June 2013, 56 patients were recruited for this study. Fifty-one patients met the inclusion criteria and were enrolled. Inclusion criteria were as follows: (1) age ≤65 years and (2) planned microsurgery or endovascular surgery for unruptured intracranial aneurysm. Exclusion criteria were as follows: (1) preoperative intelligence quotient <80 (n = 3); (2) initial modified Rankin scale ≥1 (n = 1); (3) loss to follow-up (n = 1). An auditory controlled continuous performance test (ACCPT), word-color test (WCT) and verbal learning test (VLT) were performed before and after (6 months) preventive surgery. RESULTS: ACCPT (attention), WCT (executive function) and VLT (learning and memory) scores did not change significantly between the pre- and postoperative evaluations. The ACCPT, WCT, total VLT scores (verbal learning) and delayed VLT scores (memory) did not differ significantly between patients undergoing microsurgery and those undergoing endovascular surgery. However, ACCPT, WCT and delayed VLT scores decreased postoperatively in patients with leukoaraiosis on preoperative FLAIR images (OR 9.899, p = 0.041; OR 11.421, p = 0.006; OR 2.952, p = 0.024, respectively). CONCLUSIONS: Preventive surgery for unruptured intracranial aneurysms did not affect attention, executive function, learning or memory. However, patients with leukoaraiosis on FLAIR images might be prone to deficits in attention, executive function and memory postoperatively, whereas learning might not be affected.-
dc.description.statementOfResponsibilityrestriction-
dc.format.extent197~205-
dc.publisherSpringer-
dc.relation.isPartOfACTA NEUROCHIRURGICA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAttention/physiology*-
dc.subject.MESHExecutive Function/physiology*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Aneurysm/surgery*-
dc.subject.MESHLearning/physiology*-
dc.subject.MESHMale-
dc.subject.MESHMemory/physiology-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOutcome Assessment (Health Care)*-
dc.subject.MESHProphylactic Surgical Procedures/adverse effects*-
dc.subject.MESHProspective Studies-
dc.titleEffects of preventive surgery for unruptured intracranial aneurysms on attention, executive function, learning and memory: a prospective cohort study-
dc.typeArticle-
dc.publisher.locationAustria-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurosurgery-
dc.contributor.googleauthorJoonho Chung-
dc.contributor.googleauthorJeong-Ho Seok-
dc.contributor.googleauthorMin A. Kwon-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorJin-Yang Joo-
dc.contributor.googleauthorChang-Ki Hong-
dc.identifier.doi10.1007/s00701-015-2641-z-
dc.contributor.localIdA00743-
dc.contributor.localIdA03731-
dc.contributor.localIdA03959-
dc.contributor.localIdA04445-
dc.contributor.localIdA01929-
dc.relation.journalcodeJ00018-
dc.identifier.eissn0942-0940-
dc.identifier.pmid26602237-
dc.identifier.urlhttp://link.springer.com/article/10.1007/s00701-015-2641-z-
dc.subject.keywordBrain dysfunction-
dc.subject.keywordEndovascular coiling-
dc.subject.keywordIntracranial aneurysms-
dc.subject.keywordMicrosurgical clipping-
dc.subject.keywordUnruptured aneurysms-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameChung, Joon Ho-
dc.contributor.alternativeNameJoo, Jin Yang-
dc.contributor.alternativeNameHong, Chang Ki-
dc.contributor.alternativeNameSeok, Jeong Ho-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.contributor.affiliatedAuthorChung, Joon Ho-
dc.contributor.affiliatedAuthorJoo, Jin Yang-
dc.contributor.affiliatedAuthorHong, Chang Ki-
dc.contributor.affiliatedAuthorSeok, Jeong Ho-
dc.citation.volume158-
dc.citation.number1-
dc.citation.startPage197-
dc.citation.endPage205-
dc.identifier.bibliographicCitationACTA NEUROCHIRURGICA, Vol.158(1) : 197-205, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid45085-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers

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