Diagnostic criteria for prolonged and chronic disturbances of consciousness after aneurysmal subarachnoid hemorrhages

Sergeenko E.V.; Belousova O.B.; Pilipenko Yu.V.

doi:https://doi.org/10.17116/neiro202488041117

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Abstract:

BACKGROUND

In recent years, prolonged states of impaired consciousness became widespread among patients with aneurysmal subarachnoid hemorrhage. Treatment and maintenance of vital functions in such patients represent a complex medical, economic and social problem. In this regard, searching for the causes of prolonged states of impaired consciousness and predicting the outcomes are important.

OBJECTIVE

To analyze available literature data on prevention and treatment of prolonged states of impaired consciousness after aneurysmal subarachnoid hemorrhage.

RESULTS

We reviewed the PubMed database using the keywords «unresponsive wakefulness syndrome», «persistent vegetative state2, «minimal consciousness state» and «outcome of subarachnoid hemorrhage». Only 4 reports devoted to the causes and treatment outcomes in patients with prolonged impairment of consciousness after aneurysmal subarachnoid hemorrhage were found. At the same time, patients with aneurysmal subarachnoid hemorrhage comprise up to 11% among all cases of prolonged states of impaired consciousness. Examination, management and treatment of patients with prolonged impairment of consciousness after aneurysmal subarachnoid hemorrhage are carried out according to general principles without taking into account specific etiological and pathogenetic factors.

CONCLUSION

Increased number of patients with prolonged impairment of consciousness after aneurysmal subarachnoid hemorrhage necessitates analysis of etiopathogenesis and outcomes of these disorders based on modern clinical, instrumental and laboratory assessment of the brain.

Keywords:

long-term disturbances of consciousness

vegetative state

non-reactive wakefulness syndrome

state of minimal consciousness plus and minus

subarachnoid hemorrhage

Authors:

Sergeenko E.V.

Burdenko Neurosurgical Center

ORCID: 0000-0003-3858-5617

Belousova O.B.

Burdenko Neurosurgical Center

ORCID: 0000-0003-4908-8923

Pilipenko Yu.V.

Burdenko Neurosurgical Center

ORCID: 0000-0003-4001-3212

Received:

09.07.2023

Accepted:

31.05.2024

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References:

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