[Entrez medline Query] ==CEREBRAL HEMMORHAGES== Zh Nevropatol Psikhiatr 1977;77(9):1329-1333 [Social and medical rehabilitation of patients subjected to surgery on account of aneurysms of the anterior connecting artery]. [Article in Russian] Alekseeva VS, Karaseva TA, Naidin VL, Shtamberg NA The report contains data concerning occupational and social rehabilitation of 46 patients operated on for aneurysma of the anterior communicative artery. It was established that the occupational prognosis depends upon the severity of the hemmorhage, character of surgical operation. Of significance are the conditions of work, time after the surgical operation. The authors mark that in 2/3 of the operated on patients the working capacity is being restored. A spontaneous restoration of diaturbed functions is slow and is not always sufficient. With this purpose it is expedient to repeat courses of a general tonic and special rehabilitative therapy. A favourable factor in the readaptation of patients is their early engagement in working activities. The authors give their recommendations for medical labour expert testimony for this category of patients. ------------------------------------------------------------------------ Nurs Stand 1992 Jul 15;6(43):25-28 Haemorrhagic brain injury: a care study. Muir S Mark was only 20 years old when an unfortunate sequence of events dramatically altered his life. In July 1989 he sustained two subarachnoid haemorrhages within a fortnight, first from a left anterior communicating artery aneurysm and then from a right middle cerebral artery aneurysm. Both aneurysm were successfully clipped but Mark remained hemiplegic with severe physical and behavioural problems, including incontinence, sexual disinhibition, aggression and uninhibited spitting. In November 1989, he was transferred to a neuro-rehabilitation unit and his management there will be described, showing how his complex problems were managed within enforced environmental limitations. ------------------------------------------------------------------------ Arch Phys Med Rehabil 1997 Apr;78(4):346-349 Cerebral aneurysms: analysis of rehabilitation outcomes. Clinchot DM, Bogner JA, Kaplan PE Department of Physical Medicine and Rehabilitation, Ohio State University, Columbus 43210-1290, USA. OBJECTIVE: To classify deficits after aneurysmal subarachnoid hemorrhage (SAH) and correlate rehabilitation outcomes with these findings. DESIGN: A retrospective review of medical records. SETTING: Institution-based rehabilitation hospital. PARTICIPANTS: Eighty patients admitted to a rehabilitation facility after aneurysmal SAH. MAIN OUTCOME MEASURES: For each subject, data were collected for time between surgery and admission, total inpatient days, time orientation at discharge, and level of supervision required at discharge. RESULTS: Fifty-five percent of the subjects were women and 45% were men. The average age was 47 years. Sixty percent of the lesions were right-sided and 40% were left-sided. Aneurysms were localized, in decreasing order of frequency, in the anterior communicating artery, middle cerebral artery, posterior communicating artery, internal carotid artery, basilar artery, anterior cerebral artery, and posterior inferior cerebellar artery distribution. CONCLUSION: Longer rehabilitation stays were associated with right-sided lesions (mean = 44.64 versus 33.93 days) and motor impairment (mean = 43.8 versus 31.53 days). A trend suggested that motor impairment also predicted the level of supervision required at discharge. The shorter the time between surgery and admission to rehabilitation, the more likely the patient will be oriented at the time of discharge (29.47 versus 43.29 days).