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Free Recall Memory Performance after Aneurysmal Subarachnoid Hemorrhage

Published online by Cambridge University Press:  13 February 2012

Signy Sheldon ,
R. Loch Macdonald  and
Tom A. Schweizer
Signy Sheldon*
Affiliation:
Labatt Family Centre of Excellence in Brain Injury and Trauma Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada
R. Loch Macdonald
Affiliation:
Labatt Family Centre of Excellence in Brain Injury and Trauma Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada Faculty of Medicine, Department of Surgery, University of Toronto, Toronto, Canada Division of Neurosurgery, St. Michael's Hospital, Toronto, Canada
Tom A. Schweizer
Affiliation:
Labatt Family Centre of Excellence in Brain Injury and Trauma Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada Faculty of Medicine, Department of Surgery, University of Toronto, Toronto, Canada
*
Correspondence and reprint requests to: Signy Sheldon, Division of Neurosurgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Room 230, 209 Victoria Street, Toronto, Ontario, M5B 2T8 Canada. E-mail: signy.sheldon@utoronto.ca
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Abstract

Memory deficits for survivors of aneurysmal subarachnoid hemorrhage (SAH) are common, however, the nature of these deficits is not well understood. In this study, 24 patients with SAH and matched control participants were asked to study six lists containing words from four different categories. For half the lists, the categories were presented together (organized lists). For the remaining lists, the related words were presented randomly to maximize the use of executive processes such as strategy and organization (unorganized lists). Across adjoining lists, there was overlap in the types of categories given, done to promote intrusions. Compared to control participants, SAH patients recalled a similar number of words for the organized lists, but significantly fewer words for the unorganized lists. SAH patients also reported more intrusions than their matched counterparts. Separating patients into anterior communicating artery ruptures (ACoA) and ruptures in other regions, there was a recall deficit only for the unorganized list for those with ACoA ruptures and deficits across both list types for other rupture locations. These results suggest that memory impairment following SAH is likely driven by impairment in the executive components of memory, particularly for those with ACoA ruptures. Such findings may help direct future cognitive-therapeutic programs. (JINS, 2012, 18, 334–342)

Keywords

MemoryShort termMemory disordersMental recallAneurysm anterior communicating arteryIntracranial aneurysmNeuropsychological tests
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 18 , Issue 2 , March 2012 , pp. 334 - 342
Copyright
Copyright © The International Neuropsychological Society 2012

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