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World Neurosurg. 2015 Aug;84(2):308-13. doi: 10.1016/j.wneu.2015.03.017. Epub 2015 Mar 19.

Fisher Grading Scale Associated with Language Disorders in Patients with Anterior Circulation Aneurysmal Subarachnoid Hemorrhage.

Author information

1
Department of Neurosurgery, Hospital da Restauração, Recife, Brazil; Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Brazil; Department of Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Pernambuco, Brazil. Electronic address: souzamoyses@hotmail.com.
2
Department of Phonoaudiology, Federal University of Pernambuco, Pernambuco, Brazil.
3
Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Brazil.
4
Department of Neurosurgery, Hospital da Restauração, Recife, Brazil; Department of Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Pernambuco, Brazil.
5
Department of Neurosurgery, Hospital da Restauração, Recife, Brazil.

Abstract

OBJECTIVE:

To associate the presence of language deficits with varying scores of the Fisher grading scale in patients with subarachnoid hemorrhage in the period preceding the treatment of aneurysm in the anterior circulation, as well as to compare the scores of this scale, identifying the grades more associated with the decline of language.

METHODS:

Database analysis of 185 preoperative evaluations of language, through the Montreal Toulouse Protocol Alpha version and verbal fluency through CERAD battery, of patients from "Hospital da Restauração" with aneurysmal subarachnoid hemorrhage, divided according to the Fisher grading scale (Fisher I, II, III, or IV) and compared with a control group of individuals considered normal.

RESULTS:

The various scores of the Fisher grading scale have different levels of language deficits, more pronounced as the amount of blood increases. Fisher III and IV scores are most associated with the decline of language.

CONCLUSIONS:

Our study made it possible to obtain information not yet available in the literature, by correlating the various scores of the Fisher grading scale with language yet in the period preceding treatment.

KEYWORDS:

Computed tomography; Fisher scale; Intracranial aneurysm; Neuropsychological assessment; Subarachnoid hemorrhage

PMID:
25797076
DOI:
10.1016/j.wneu.2015.03.017
[Indexed for MEDLINE]

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