Neuropsychologic effects of carotid endarterectomy.
J Clin Exp Neuropsychol
; 19(6): 785-94, 1997 Dec.
Article
de En
| MEDLINE
| ID: mdl-9524874
ABSTRACT
This study assessed neuropsychologic changes after internal carotid endarterectomy using a design that limited the confounding effects of surgical and anesthesiological stress. Twenty-eight patients (mean age = 65.9 years, SD = 8.4, range 45-79), underwent extensive neuropsychological assessment before and on the seventh day after carotid endarterectomy for symptomatic carotid stenosis greater than 75%. A similarly assessed control group of 30 patients underwent elective orthopaedic surgery. A third cognitive assessment was performed 4 months postoperatively on a subgroup of the study patients. No significant cognitive change occurred in the control group. The study patients showed significant improvement in verbal memory, constructive abilities, verbal attainment, and visual attention; a trend towards further improvement of verbal functions was evident at the late postoperative assessment. No side-specific cognitive change was observed. In conclusion, carotid endarterectomy performed for currently accepted indications significantly improves several cognitive functions.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Endartériectomie carotidienne
/
Cognition
Type d'étude:
Clinical_trials
Limites:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
J Clin Exp Neuropsychol
Sujet du journal:
NEUROLOGIA
/
PSICOLOGIA
Année:
1997
Type de document:
Article
Pays d'affiliation:
Italie