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57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

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Neuropsychological testing as follow-up for chronic subdural haematomas

Der Syndromkurztest als Verlaufskontrolle beim chronischen Subduralhämatom

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  • corresponding author M. Schütze - Abteilung für Neurochirurgie, Chirurgische Universitätsklinik Rostock
  • D. Mathieu - Abteilung für Neurochirurgie, Chirurgische Universitätsklinik Rostock
  • K. Buchholz - Abteilung für Neurochirurgie, Chirurgische Universitätsklinik Rostock
  • J. Piek - Abteilung für Neurochirurgie, Chirurgische Universitätsklinik Rostock

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocP 03.35

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc252.shtml

Published: May 8, 2006

© 2006 Schütze et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: The follow-up of patients with a chronic subdural haematoma is mostly performed by CCT scan. We wanted to identify a sufficient testing method to reduce the number of CT scans in those patients.

Methods: In a prospective study we included all patients admitted to our hospital with a chronic subdural haematoma. Preoperative we performed a neuropsychological test (“Syndromkurztest”) in all patients. In those patients with aphasic disturbances due to a left sided haematoma we performed the NIH stroke scale additionally. A follow-up testing was performed on day 14 and after 6 weeks or at any time of deterioration.

Results: Up to now we included 18 Patients in our study. All patients showed a good recovery which could be correlated to the neuropsychological testing. In one patient we marked a recurrence of the haematoma which could be seen in a worsening of the neuropsychological testing. The last testing, 6 weeks after the operation all patients showed age-appropriate test-results.

Conclusions: In conclusion we think that a neuropsychological testing in addition to the clinical examination is an appropriate method for patients with chronic subdural haematomas and to save cost for continued CCT scans.