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KORSAKOFF'S SYNDROME AFTER OPERATION ON RUPTURED ANEURYSM OF THE ANTERIOR COMMUNICATING ARTERY

KORSAKOFF'S SYNDROME AFTER OPERATION ON RUPTURED ANEURYSM OF THE ANTERIOR COMMUNICATING ARTERY Clinical Material. Thirty-three patients (12 females and 21 males), all operated by the same surgeon (G. N.), were studied. The mean age at operation was 43 years 7 months (range 29 to 67 years). In 13 cases small frontal lobe resections were made to facilitate the operation. In one case (Case 2 below) the stalk of the aneurysm was electrocoagulated with consequent occlusion of the communicating artery; in 2 cases the aneurysm was only coated with plastic adhesive, in the remaining 30 cases ligation of the neck of the aneurysm or trapping was performed. Eleven days after operation one patient died of pulmonary embolism. Longstanding hemiparesis occurred in one case, temporary hemiparesis in another and bitemporal hemianopsia in a third. In one case permanent hypothermia and electrolyte disturbances appeared after operation. No other severe somatic complications were noted and in most cases the postoperative somatic course was uneventful. Psychiatric Methods. In addition to repeated extensive interviews a number of psychometric methods were used. Raven’s Standard Progressive Matrices, Raven’s Coloured Progressive Matrices, Benton’s Visual Retention Test and the Five Object Memory Test are well known and require no commentation. The CVB Intelligence Scale (Huskn 1956) is the Swedish modification http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Psychiatrica Scandinavica Wiley

KORSAKOFF'S SYNDROME AFTER OPERATION ON RUPTURED ANEURYSM OF THE ANTERIOR COMMUNICATING ARTERY

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References (26)

Publisher
Wiley
Copyright
Copyright © 1966 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0001-690X
eISSN
1600-0447
DOI
10.1111/j.1600-0447.1966.tb01913.x
Publisher site
See Article on Publisher Site

Abstract

Clinical Material. Thirty-three patients (12 females and 21 males), all operated by the same surgeon (G. N.), were studied. The mean age at operation was 43 years 7 months (range 29 to 67 years). In 13 cases small frontal lobe resections were made to facilitate the operation. In one case (Case 2 below) the stalk of the aneurysm was electrocoagulated with consequent occlusion of the communicating artery; in 2 cases the aneurysm was only coated with plastic adhesive, in the remaining 30 cases ligation of the neck of the aneurysm or trapping was performed. Eleven days after operation one patient died of pulmonary embolism. Longstanding hemiparesis occurred in one case, temporary hemiparesis in another and bitemporal hemianopsia in a third. In one case permanent hypothermia and electrolyte disturbances appeared after operation. No other severe somatic complications were noted and in most cases the postoperative somatic course was uneventful. Psychiatric Methods. In addition to repeated extensive interviews a number of psychometric methods were used. Raven’s Standard Progressive Matrices, Raven’s Coloured Progressive Matrices, Benton’s Visual Retention Test and the Five Object Memory Test are well known and require no commentation. The CVB Intelligence Scale (Huskn 1956) is the Swedish modification

Journal

Acta Psychiatrica ScandinavicaWiley

Published: Mar 1, 1966

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