Další formáty:
BibTeX
LaTeX
RIS
@article{970260,
author = {Fiedler, Jiří and Přibáň, Vladimír and Škoda, Ondřej and Schenk, Ivo and Schenková, Věra and Poláková, Simona},
article_location = {Wien},
article_number = {6},
doi = {http://dx.doi.org/10.1007/s00701-011-0949-x},
keywords = {Carotid arteries; Cerebral revascularization; Cognition; Brain ischemia; EC-IC bypass},
language = {eng},
issn = {0001-6268},
journal = {Acta Neurichirurgica},
title = {Cognitive outcome after EC-IC bypass surgery in hemodynamic cerebral ischemia},
volume = {153},
year = {2011}
}
TY - JOUR
ID - 970260
AU - Fiedler, Jiří - Přibáň, Vladimír - Škoda, Ondřej - Schenk, Ivo - Schenková, Věra - Poláková, Simona
PY - 2011
TI - Cognitive outcome after EC-IC bypass surgery in hemodynamic cerebral ischemia
JF - Acta Neurichirurgica
VL - 153
IS - 6
SP - 1303-1312
EP - 1303-1312
PB - Springer
SN - 00016268
KW - Carotid arteries
KW - Cerebral revascularization
KW - Cognition
KW - Brain ischemia
KW - EC-IC bypass
N2 - Objective The purpose of this study was to evaluate cognitive functions in patients undergoing extracranial-intracranial (EC-IC) bypass surgery for cerebral ischemia. Population and methods From August 2003 to January 2009, 276 patients with occluded internal carotid arteries (ICA) were screened. Forty of these met the criteria for a low-flow EC-IC bypass. These patients were identified based on evidence of exhausted vasomotor reactivity (VMR) using the Doppler CO(2) test and CT perfusion. These patients were invited to have a complete battery of neuropsychological tests preoperatively and 12 months after surgery. Complete neurocognitive testing was finished in 20 patients. Results This group of 20 patients showed preoperative cognitive impairment ranging from mild to medium-severe. There were no cases of stroke ipsilateral to the operated side during the follow-up period. VMR improvement was seen in all patients within 6 months of surgery. A comparison using a paired t-test demonstrated significant improvement 12 months after surgery in the following neuropsychological tests: WAIS-R (p = 0.01), Number Collection Test (p = 0.02), Trail Making Test (p = 0.03), and Benton Visual Retention Test (p = 0.05). Repeat analysis of variance (ANOVA) suggested the following predictors associated with cognitive improvement:the presence of ophthalmic collateral flow (p = 0.04), preoperative amaurosis fugax (p = 0.02), and external watershed infarction detected by MRI (p = 0.04). Conclusion Patients with occlusion of the ICA and exhausted VMR have cognitive impairment prior to EC-IC bypass surgery. Twelve months after surgery, there is significant improvement in various areas of cognition.
ER -
FIEDLER, Jiří, Vladimír PŘIBÁŇ, Ondřej ŠKODA, Ivo SCHENK, Věra SCHENKOVÁ a Simona POLÁKOVÁ. Cognitive outcome after EC-IC bypass surgery in hemodynamic cerebral ischemia. \textit{Acta Neurichirurgica}. Wien: Springer, 2011, roč.~153, č.~6, s.~1303-1312. ISSN~0001-6268. Dostupné z: https://dx.doi.org/10.1007/s00701-011-0949-x.
|
