R. Mangold et T. Wallenfang, Posttraumatic neuropsychological rind psychiatric disorders after subarachnoid haemorrhage, NERVENHEILK, 19(1), 2000, pp. 32-37
The incidence of neuropsychological and psychiatric disorders has been reta
rded in a study with 61 SAH patients without neurological deficits. Connect
ions between various distinctive features of the patients and their illness
(age when SAH occured, localisation of the hemorrhage, Hunt and Hess stage
upon admission into hospital, individual posttraumatic way of coping with
the illness) and the consequences of the SAH ore described. Clinically rele
vant depressions (28,1%), somatization disorders (15,6%), phobic reactions
(14,3%), and pseudoneurasthenic syndromes (28,6%) have a high level of corr
elation with the extent of cognitive deficits. The interactions of cerebro-
organic and psychological factors in the development of these posttraumatic
disturbances fallowing SAH ore described. The lang term posttraumatic prog
ress and quality of life or determined by individual cerebro-organic and ps
ychological factors. Attention is drown to the necessity of psychological c
onsultation and therapy being provided for patients and their relatives.