Shi LK, Cai XF, He JQ, Wang YH. Combined microscopic and neuroendoscopic treatment effects on psychological and cognitive outcomes in ruptured intracranial aneurysms. World J Psychiatry 2025; 15(3): 100565 [DOI: 10.5498/wjp.v15.i3.100565]
Corresponding Author of This Article
Yu-Hai Wang, MD, Department of Neurosurgery, Wuxi Clinical College of Anhui Medical University, No. 101 Xingyuan North Road, Liangxi District, North Street, Wuxi 214000, Jiangsu Province, China. docyuhaiwang@163.com
Research Domain of This Article
Neurosciences
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Mar 19, 2025; 15(3): 100565 Published online Mar 19, 2025. doi: 10.5498/wjp.v15.i3.100565
Combined microscopic and neuroendoscopic treatment effects on psychological and cognitive outcomes in ruptured intracranial aneurysms
Li-Ke Shi, Xian-Feng Cai, Jian-Qing He, Yu-Hai Wang
Li-Ke Shi, Xian-Feng Cai, Jian-Qing He, Yu-Hai Wang, Department of Neurosurgery, Wuxi Clinical College of Anhui Medical University, Wuxi 214000, Jiangsu Province, China
Li-Ke Shi, Xian-Feng Cai, Jian-Qing He, Yu-Hai Wang, Department of Neurosurgery, Anhui Medical University Fifth Clinical Medical College, Hefei 230031, Anhui Province, China
Li-Ke Shi, Xian-Feng Cai, Jian-Qing He, Yu-Hai Wang, Department of Neurosurgery, The 904th Hospital of Joint Logistic Support Force of PLA, Wuxi 214101, Jiangsu Province, China
Author contributions: Shi LK and Cai XF designs research; He JQ conducts case collection; Wang YH guide the research.
Institutional review board statement: The research was reviewed and approved by the Review Committee of the 904th Hospital of Joint Logistic Support Force of PLA.
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No other data available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Hai Wang, MD, Department of Neurosurgery, Wuxi Clinical College of Anhui Medical University, No. 101 Xingyuan North Road, Liangxi District, North Street, Wuxi 214000, Jiangsu Province, China. docyuhaiwang@163.com
Received: October 11, 2024 Revised: November 19, 2024 Accepted: December 30, 2024 Published online: March 19, 2025 Processing time: 137 Days and 20.4 Hours
Abstract
BACKGROUND
Intracranial aneurysms, characterized by focal arterial wall dilation, pose significant neurosurgical challenges due to their potential for rupture and hemorrhage, leading to severe clinical outcomes, including fatality. Patients often experience profound psychological and social impacts, such as depression, anxiety, and cognitive impairment, affecting their quality of life. Rapid progression and high mortality necessitate timely intervention. Advances in neurosurgical techniques, including microscopic surgery and neuroendoscopy, offer distinct advantages. Microscopic surgery provides precision and direct visualization, while neuroendoscopy ensures minimally invasive access and reduced tissue trauma. Integrating these methods optimizes treatment efficacy and clinical outcomes.
AIM
To evaluate the impact of combined microscopic and neuroendoscopic techniques on psychological, cognitive outcomes, and quality of life in patients with ruptured intracranial aneurysms.
METHODS
The study focused on 189 patients with intracranial aneurysm rupture and hemorrhage from January 2020 to May 2024 as the objects of observation and analysis. They were randomly divided into a control group (treated with simple microscope surgery, n = 94) and an observation group (treated with microscope combined with neuroendoscopy, n = 95). The treatment effects of the two groups were observed, mainly including depression and anxiety scale scores, cognitive function assessment results and quality of life assessment data.
RESULTS
Before treatment, the depression and anxiety scale scores, cognitive function assessment results and quality of life assessment data of the two groups of patients at different time points were compared, and there was no statistically significant difference (P > 0.05). After microscope combined with neuroendoscopy treatment, the study revealed that the observation group surpassed the control group in alleviating depression and anxiety, accelerating cognitive function recovery, and enhancing quality of life, with these differences being statistically significant (P < 0.05).
CONCLUSION
Surgical treatment combined with microscopy and neuroendoscopy has a significant positive effect on the mental health, cognitive function and overall quality of life of patients with intracranial aneurysm rupture and bleeding, can shorten the operation time and treatment time, and provides a new strategic reference for clinical treatment.
Core Tip: Surgical treatment combined with microscopy and neuroendoscopy has a significant positive effect on the mental health, cognitive function and overall quality of life of patients with intracranial aneurysm rupture and bleeding.
