Abstract
Patients generally have a good prognosis and develop only occasional neurological
complications after nontraumatic, nonaneurysmal subarachnoid hemorrhage (SAH). This
prospective long-term study investigated the normal return to work of patients who
had experienced nontraumatic nonaneurysmal SAH. From June 2001 to June 2004, all patients
presenting with nonaneurysmal nontraumatic SAH were asked to participate in this study.
The population was divided in two groups: perimesencephalic (pSAH) and nonperimesencephalic
pattern (npSAH). All patients underwent a battery of neuropsychological tests and
completed psychological questionnaires assessing their general cognitive and language
functions, memory and construction ability, attention, anxiety and depression, and
quality of life. The patients were interviewed at the hospital, and neuropsychological
assessments were conducted regularly for 7 years. The cognitive assessment after 7 years revealed a statistically significant difference between the pSAH and npSAH groups
with respect to the activation and elaboration speed of attention as well as long-term
non-verbal memory. Nine patients could not return to their former jobs after nonaneurysmal
SAH. Although nontraumatic nonaneurysmal subarachnoid hemorrhage is typically a pathology
with an excellent prognosis, there is evidence that this event may influence working
life for a long time.
Keywords
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Article info
Publication history
Accepted:
February 22,
2011
Received:
January 13,
2011
Identification
Copyright
© 2011 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
