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CC BY 4.0 · Indian Journal of Neurosurgery 2024; 13(01): 020-026
DOI: 10.1055/s-0042-1757918
Original Article

Gender Differences in Executive Functions of Patients Operated for Mild to Moderate Epidural Hematoma

Shweta Singh
1   Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Seema Rani Sarraf 
1   Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Adarsh Tripathi
1   Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Bal Krishna Ojha 
2   Department of Neurosurgery, King Georges Medical University, Lucknow, Uttar Pradesh, India
,
Amandeep Singh
1   Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
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Abstract

Background Impairment in neurocognitive functions are commonly followed by Epidural hematoma (EDH) . This cross-sectional study was aimed to study gender differences in neurocognitive functions in mild to moderate epidural hematoma patients (43 male and 19 female patients) post-surgery using standardized assessment tools of comprehensive neurocognitive function attention, speed, working memory, fluency, set-shifting, perseveration, planning and response inhibition.

Methods Descriptive statistics, i.e., mean and standard deviation (SD) values were computed, and a t-test was applied for further exploration.

Results The analysis of results shows that on the test of working memory, female group scored better as significant differences were found on N-Back (2 Back versions) and digit span-backward. On the verbal fluency test (COWA), significant difference was found as females scored higher than the male group on total responses. However, the male group was higher in total time and error than the female group on the test of sustained attention and divided attention.

Conclusion This study shows interesting results in terms of gender differences in executive function of patients operated for mild to moderate epidural hematoma. These findings have significant clinical and implications for planning intervention. The neuropsychological rehabilitation of patients operated for mild to moderate epidural hematoma has a crucial role in enhancing their recovery and overall functioning. Inputs about gender differences in neuro psychological functioning of these patients would help in decision making regarding neuropsychological rehabilitation incorporating the gender related differences too in their intervention plan.

Keywords

traumatic brain injury - epidural hematoma - neurocognitive functions - executive functions


Publication History

Article published online:
23 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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