Bibliographic Details
| Title: |
Cognitive and everyday functioning after bacterial brain abscess: a prospective study of functional recovery from 8 weeks to 1 year post-treatment. |
| Authors: |
Rogne, Ane Gretesdatter1,2 ane.gretesdatter.rogne@sunnaas.no, Sigurdardottir, Solrun3, Raudeberg, Rune4, Hassel, Bjørnar1,5, Dahlberg, Daniel6 |
| Source: |
Brain Injury. 2024, Vol. 38 Issue 10, p787-795. 9p. |
| Subject Terms: |
*BACTERIAL disease treatment, *MOTOR ability, *MILD cognitive impairment, *EXECUTIVE function, *FUNCTIONAL assessment, *TREATMENT effectiveness, *DESCRIPTIVE statistics, *LONGITUDINAL method, *ATTENTION, *CONVALESCENCE, *NEUROPSYCHOLOGICAL tests, *NEUROPSYCHOLOGY, *BRAIN injuries, *BRAIN abscess, *COGNITION, *VERBAL behavior |
| Abstract: |
A bacterial brain abscess may damage surrounding brain tissue by mass effect, inflammatory processes, and bacterial toxins. The aim of this study was to examine cognitive and functional outcomes at 8 weeks and 1 year following acute treatment. Prospective study of 20 patients with bacterial brain abscess (aged 17–73 years; 45% females) with neuropsychological assessment at 8 weeks and 1 year post-treatment. Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) and Patient Competence Rating Scale (PCRS) were used to assess everyday functioning and administered to patients and informants. Cognitive impairment was found in 30% of patients at 8 weeks and 22% at 1 year. Significant improvements were seen on tests of perceptual reasoning, attention, verbal fluency, and motor abilities (p < 0.05). At 1 year, 45% had returned to full-time employment. Nevertheless, patients and their informants obtained scores within the normal range on measures of everyday functioning (PCRS and BRIEF-A) at 8 weeks and 1 year. No significant improvements on these measures emerged over time. Residual long-term cognitive impairment and diminished work ability affected 22% and 45% of patients one year after BA. Persistent cognitive impairment emphasizes the importance of prompt acute treatment and cognitive rehabilitation. [ABSTRACT FROM AUTHOR] |
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| Database: |
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