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The quality of life in patients with ruptured multiple cerebral aneurysms after endovascular treatment

[Neurology]
Anna Anatolyevna Oleinik; Natalia Evgenievna Ivanova; Sergey Anatolievich Goroshchenko; Arkady Aleksandrovich Ivanov; Ekaterina Anatolyevna Oleynik; Alexey Yurievich Ulitin; Aleksey Yurevich Ivanov;

The quality of life (QOL) was studied in patients with ruptured multiple cerebral arterial aneurysms (AA) in the late postoperative period after endovascular treatment. The study included 86 cases with multiple AAs with a history of one or more subarachnoid hemorrhages (SAH); the comparison group included 86 observations with unruptured multiple AAs. All patients underwent endovascular treatment of multiple AAs. QoL in the late postoperative period was assessed from 6 months to 2 years after surgery using the SF-36 questionnaire. A decrease in the International Classification of Functioning (ICF) indices was revealed in the main group compared to the comparison group in the domains b2151 (eyelid function), b7301 (muscle function of one limb), b7302 (muscle function of one side of the body), d4501 (long distance walking) (p <0.05). Deterioration of indicators in patients with a history of SAH was on the subscale SF (Social functioning) (p <0.05), RF (Role functioning due to physical condition) (p=0.03). The factors influencing the patients’ status after SAH were the age of patients (from 61 to 70 years), the presence of complications of the acute period of SAH, complications of surgical interventions. In the long-term postoperative period, satisfactory QOL indicators achieved in patients with SAH. To improve the quality of life, it is necessary to carry out rehabilitation in patients with neurological symptoms.

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References:


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Keywords: aneurysms of cerebral vessels, cerebral aneurysms, multiple aneurysms, distant postoperative period, endovascular treatment


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