Psychological and cognitive outcomes in patients with unruptured intracranial aneurysms and aneurysmal subarachnoid haemorrhage: a multidimensional assessment - Scorecard - MDSpire
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Psychological and cognitive outcomes in patients with unruptured intracranial aneurysms and aneurysmal subarachnoid haemorrhage: a multidimensional assessment
Clinical Scorecard: Psychological and Cognitive Effects in Individuals with Unruptured Intracranial Aneurysms and Aneurysmal Subarachnoid Hemorrhage: A Comprehensive Evaluation
At a Glance
Category
Detail
Condition
Unruptured intracranial aneurysms (UIAs) and aneurysmal subarachnoid hemorrhage (aSAH)
Key Mechanisms
Psychological distress from fear of rupture in UIAs; cognitive impairment and psychological trauma post-hemorrhage in aSAH
Target Population
Adults diagnosed with UIAs or survivors of aSAH
Care Setting
Multidisciplinary neurological and psychological care in hospital and outpatient settings
Key Highlights
UIA diagnosis often causes significant anxiety and reduced quality of life due to fear of rupture, even without bleeding.
Treatment decisions for aneurysms are individualized, considering aneurysm size, morphology, location, patient factors, and multidisciplinary input.
Guideline-Based Recommendations
Diagnosis
Use neuroimaging to identify UIAs, often incidentally.
Confirm aSAH diagnosis with clinical and imaging criteria.
Perform comprehensive psychological and cognitive assessments post-diagnosis.
Management
Individual risk assessment for UIA treatment considering PHASES score, aneurysm characteristics, and patient factors.
Primary treatment of ruptured aneurysms via endovascular methods; surgical clipping if endovascular not feasible.
Incorporate psychological support and cognitive rehabilitation into long-term care plans.
Monitoring & Follow-up
Regular follow-up imaging for aneurysm growth or morphological changes.
Ongoing assessment of psychological symptoms including anxiety, depression, and sleep quality.
Monitor cognitive function over time, especially in aSAH survivors.
Risks
Psychological distress from knowledge of UIA leading to chronic anxiety and impaired quality of life.
Cognitive impairment and emotional regulation difficulties post-aSAH.
Sleep disturbances linked to anxiety and depression in both UIA and aSAH populations.
Patient & Prescribing Data
Adults with UIAs and aSAH survivors undergoing treatment and follow-up
Treatment decisions are medically driven without economic influence in Hungary; multidisciplinary team involvement ensures individualized care balancing risks and benefits.
Clinical Best Practices
Adopt a multidisciplinary approach integrating neurosurgery, neurointervention, psychology, and rehabilitation.
Provide detailed patient education about aneurysm risks and treatment options to reduce anxiety.
Implement routine psychological screening and cognitive evaluations for all patients with UIAs and aSAH.
Tailor treatment modality (endovascular vs surgical) considering potential cognitive outcomes.
Ensure long-term psychological and cognitive support to improve quality of life.
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