====== Cognitive outcome after intracranial aneurysm treatment ======

see also [[Cognitive outcome after aneurysmal subarachnoid hemorrhage]]
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A study suggests that [[endovascular coiling]] does not diminish [[neurocognitive function]]. Patients with [[unruptured intracranial aneurysm]]s in a [[cohort]] also had baseline [[Montreal Cognitive Assessment]] (MoCA) scores below the cut-off for mild [[cognitive impairment]] despite pre-procedure [[mRS]] and [[NIHSS]] of 0
((Srivatsan A, Mohanty A, Saleem Y, Srinivasan VM, Wagner K, Seeley J, Burkhardt JK, Chen SR, Johnnson JN, Kan P. Cognitive outcomes after [[unruptured intracranial aneurysm treatment]] with endovascular coiling. J Neurointerv Surg. 2021 May;13(5):430-433. doi: 10.1136/neurintsurg-2020-016362. Epub 2020 Jul 22. PMID: 32699175.)).
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[[Intracranial Aneurysm Flow Diversion]] may not alter [[neurocognitive function]]. Larger patient samples and longer follow-ups with other tests of cognitive functions are needed to confirm these findings
((Wagner K, Srivatsan A, Mohanty A, Srinivasan VM, Saleem Y, Cherian J, James RF, Chen S, Burkhardt JK, Johnson J, Kan P. [[Cognitive]] [[outcome]]s after [[unruptured intracranial aneurysm treatment with flow diversion]]. J Neurosurg. 2019 Nov 29:1-6. doi: 10.3171/2019.9.JNS191910. Epub ahead of print. PMID: 31783369.)).
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[[Intracranial aneurysm embolization]] exerts better effects on [[cognitive]] and neurologic functions than  [[intracranial aneurysm clipping]]
((Gao P, Jin Z, Wang P, Zhang X. Effects of [[Intracranial]] Interventional [[Embolization]] and Intracranial [[Clipping]] on the [[Cognitive]] and Neurologic Function of Patients with [[Intracranial Aneurysm]]s. Arch Clin Neuropsychol. 2022 May 22:acac030. doi: 10.1093/arclin/acac030. Epub ahead of print. PMID: 35596958.)).
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Data indicate that a single graded scale does not address all aspects of recovery after aneurysm treatment, particularly [[cognitive]] dysfunction and the patient's perception of health
((Kim DH, Haney CL, Van Ginhoven G. Utility of outcome measures after treatment for intracranial aneurysms: a prospective trial involving 520 patients. Stroke. 2005 Apr;36(4):792-6. doi: 10.1161/01.STR.0000157594.58180.97. Epub 2005 Feb 17. PMID: 15718511.)).