OBJECTIVE: To investigate decision-making deficits after anterior communicating @entity438 (ACoA) rupture and to compare the effects of two treatments. METHOD: The sample included 40 @entity1 with @entity510 secondary to ruptured ACoA with a favorable neurological outcome and a control group of 31 subjects matched by age, sex, and years of education. Twenty @entity1 had surgical interventions (clipping) and 20 had received endovascular treatment. Decision-making was assessed by the @entity11532 ( @entity11532 ). We used the Expectancy Valence model to examine the different components associated with the @entity11532 . RESULTS: ACoA @entity1 performed significantly worse on the @entity11532 than controls, we observed poorly performance on @entity11532 in 70% of the @entity1 . Comparing the groups according to type of intervention, we found that clipped @entity1 performed significantly worse than controls on the @entity11532 , whereas coiled @entity1 did not differ significantly from controls or clipped @entity1 ; however, coiled @entity1 performed worse than controls on the last block of the task. @entity1 with frontal lesions selected significantly more cards from the disadvantageous deck. @entity11532 performance correlated with other tests of executive functions such as the perseverative errors and non perseverative errors of Wisconsin Card Sorting Tests, and verbal fluency test, but not with working memory tests. According to the Expectancy Valence model, @entity1 with frontal lesions showed a greater tendency to focus on recent outcomes and ignore or rapidly discount past outcomes, and tended to have a more erratic response pattern. CONCLUSIONS: Our results suggest that @entity1 with @entity510 secondary to ruptured ACoA have deficits in decision-making under ambiguity. The main cause of this deficit is the presence of frontal lesions. Moreover, clipped @entity1 , but not coiled @entity1 , showed @entity51 in comparison with controls. Our results suggest that the @entity11532 may help to identify neuropsychological sequelae in these @entity1 .

Decision-making impairment on the @entity11532 after endovascular coiling or neurosurgical clipping for ruptured anterior communicating XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity510 :: ('MESH:D013345', 'Disease') :: ['subarachnoid hemorrhage'] @entity51 :: ('MESH:D009461', 'Disease') :: ['deficits in taking decisions'] @entity11532 :: ('MESH:D005715', 'Disease') :: ['Iowa Gambling Task', 'IGT'] @entity438 :: ('MESH:D002532', 'Disease') :: ['artery aneurysm']
@entity438 :: (MESH:D002532,Disease) :: ['artery aneurysm']
