Artikel
Neuropsychological testing as follow-up for chronic subdural haematomas
Der Syndromkurztest als Verlaufskontrolle beim chronischen Subduralhämatom
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Veröffentlicht: | 8. Mai 2006 |
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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.