Neuropsychological and neuropathological sequelae of cerebral anoxia: A critical review

被引:152
作者
Caine, D
Watson, JDG
机构
[1] Royal Prince Alfred Hosp, Neuropsychol Unit, Sydney, NSW, Australia
[2] Univ Sydney, Dept Med, Sydney, NSW 2006, Australia
关键词
cerebral anoxia; cardiac arrest; cognition disorders;
D O I
10.1017/S1355617700611116
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fifty-eight studies of the neuropathological and neuropsychological outcomes of cerebral anoxia were reviewed. Neuropathological reports were examined for the variety, extent, and specificity of lesions resulting from an anoxic event. While most attention has focused on damage to the hippocampus following anoxic brain injury,the review indicated that watershed cerebral cortex and the basal ganglia were both more frequently damaged than the hippocampus. The hippocampus was the sole affected structure in only 18% of reported cases. Neurological, neuropsychological and psychiatric studies were analyzed. Of 67 individual case reports, a memory disturbance was documented in 36 (54%), but a memory disturbance without report of additional cognitive deficits occurred in only 13 (19.4%). Changes in personality and behavior were noted in 31 (46.2%). Visuospatial or, less frequently, visual recognition problems were noted in 21 individual eases (31.3%) reviewed. Memory deficits were found in all 14 group studies reviewed, while in 9 papers changes in behavior or personality were also documented. Six studies also reported visuospatial deficits. Careful reading of the literature reveals a range of cognitive and behavioral changes that reflect very well the neuropathological outcomes of anoxic episodes.
引用
收藏
页码:86 / 99
页数:14
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