Neurocognitive Sequelae and Rehabilitation after Subarachnoid Hemorrhage: Optimizing Outcomes.

Journal of vascular diseases Pub Date : 2023-06-01 Epub Date: 2023-04-01 DOI:10.3390/jvd2020014
Divine C Nwafor, Brandon D Kirby, Jacob D Ralston, Mark A Colantonio, Elochukwu Ibekwe, Brandon Lucke-Wold
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Abstract

Subarachnoid hemorrhage (SAH) is a medical emergency that requires immediate intervention. The etiology varies between cases; however, rupture of an intracranial aneurysm accounts for 80% of medical emergencies. Early intervention and treatment are essential to prevent long-term complications. Over the years, treatment of SAH has drastically improved, which is responsible for the rapid rise in SAH survivors. Post-SAH, a significant number of patients exhibit impairments in memory and executive function and report high rates of depression and anxiety that ultimately affect daily living, return to work, and quality of life. Given the rise in SAH survivors, rehabilitation post-SAH to optimize patient outcomes becomes crucial. The review addresses the current rehabilitative strategies to combat the neurocognitive and behavioral issues that may arise following SAH.

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蛛网膜下腔出血后的神经认知后遗症和康复治疗:优化结果。
蛛网膜下腔出血(SAH)是一种需要立即干预的急症。不同病例的病因各不相同,但颅内动脉瘤破裂占医疗急症的 80%。早期干预和治疗对预防长期并发症至关重要。多年来,SAH 的治疗方法已大为改善,这也是 SAH 存活者人数迅速增加的原因。SAH 后,大量患者表现出记忆和执行功能受损,抑郁和焦虑的发生率很高,最终影响到日常生活、重返工作岗位和生活质量。鉴于 SAH 幸存者人数的增加,SAH 后的康复治疗对优化患者预后至关重要。本综述探讨了目前应对 SAH 后可能出现的神经认知和行为问题的康复策略。
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