动脉瘤性蛛网膜下腔出血后认知功能障碍的评估及研究进展

The evaluation and research process of cognitive impairment after aneurysmal Subarachnoid Hemorrhage

动脉瘤性蛛网膜下腔出血(aSAH)是一种严重的脑血管危急重症,具有较高的致死率和致残率,临床对于高级功能损伤的认识尚不全面。认知功能障碍是一个较复杂的病理生理过程,文章通过对既往涉及aSAH后认知功能障碍评价的文献进行回顾与分析,总结目前已有的评价手段及研究结果,为将来需要进行aSAH后认知功能障碍评价提供借鉴。

Rupture of an intracranial aneurysm causes subarachnoid hemorrhage(SAH)occuring with a frequency of six to eight per 100 000,and has high morbidity and mortality.Cognitive dysfunction is the most common neurologic impairment after subarachnoid hemorrhage(SAH).Neuropsychological testing has been used to detect subtle cognitive impairment after SAH.However,the specific tests used often vary,and a test battery generates multiple scores that difficult to summarize and interpret.Also,detailed neuropsychological testing is invaluable for characterizing the extent and nuances of cognitive impairment in individuals.This article reviews the evaluation of cognitive impairment to further explore the mechanism and treatment.