Skip to main content

Focal Neurological Lesions and Diffuse Organic Brain Damage in Open-Heart Surgery Patients

Postoperative Thrombocytosis and Platelet Aggregation — A Possible Aetiological Factor in the Causation of Organic Brain Dysfunction

  • Conference paper
Psychopathological and Neurological Dysfunctions Following Open-Heart Surgery

Summary

Neuropsychiatric dysfunction occurring after open-heart surgery is usually considered to be related to intraoperative events.

A case history is presented which suggests that marked changes in neuropsychiatric function can occur in the immediate postoperative period with a history and time course which is incompatible with a direct intraoperative cause. The evidence from psychometric testing indicated a disturbance of delayed memory recall which would suggest an organic basis for the symptoms. Analysis of the records of a group of patients who were studied in detail with pre- and postoperative interviewing, identified a significant incidence of changes suggestive of organic neuropsychiatrie dysfunction occurring remote from the immediate operative period.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Preston FE, Martin JF, Stewart RM, Davies-Jones GAB (1979) Thrombocytosis, circulating platelet aggregates and neurological dysfunction. Br Med J 2:1561

    Article  PubMed  CAS  Google Scholar 

  2. Branthwaite MA (1972) Neurological damage related to open-heart surgery. A clinical survey. Thorax 27:748

    Article  PubMed  CAS  Google Scholar 

  3. Branthwaite MA (1973) Detection of neurological damage during open-heart surgery. Thorax 28:464

    Article  PubMed  CAS  Google Scholar 

  4. Heller SS, Frank KH, Malm JR, et al. (1970) Psychiatric complications to open-heart surgery. N Engl J Med 283:1015

    Article  PubMed  CAS  Google Scholar 

  5. William M (1953) Investigation of amnesic defects by progressive prompting. J Neurol Neuro-surg Psychiatry 16:14

    Article  Google Scholar 

  6. Bethune DW (to be published) Test of delayed memory recall suitable for assessing postoperative amnesia. Anaesthesia 35

    Google Scholar 

  7. Bethune DW (1980) The assessment of organic brain damage following open-heart surgery. In: Speidel H, Rodewald G (eds) Psychic and neurological dysfunctions after open-heart surgery. INA 19:100–106 Thieme, Stuttgart

    Google Scholar 

  8. Dubin WR, Field HL, Gastfriend DR (1979) Post cardiotomy delirium: A critical review. J Thorac Cardiovasc Surg 77:586

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Bethune, D.W. (1982). Focal Neurological Lesions and Diffuse Organic Brain Damage in Open-Heart Surgery Patients. In: Becker, R., Katz, J.M., Polonius, MJ., Speidel, H. (eds) Psychopathological and Neurological Dysfunctions Following Open-Heart Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68610-8_35

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-68610-8_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-68612-2

  • Online ISBN: 978-3-642-68610-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics