Abstract:
OBJECTIVE:Patients with intracranial meningiomas can experience neurocognitive dysfunctions in specific cognitive domains depending on tumor location and size. The literature regarding cognitive function surrounding the resection of frontal meningiomas is sparse. METHODS:We performed a prospective matched-control study to investigate the cognitive performance of frontal meningioma patients undergoing resection. The neurocognitive status 1 week and 2 months after resection was compared with the preoperative status and matched-controls. Matching was performed for age, sex, handedness, education, and profession. An extensive test battery was used to assess perceptual speed, executive function, visual-spatial and verbal working memory, short- and long-term memory, verbal fluency, fluid intelligence, anxiety, and depression. RESULTS:Twelve patients with frontal World Health Organization grade I meningioma and 12 matched-controls underwent cognitive testing. Macroscopically, complete removal was achieved in all cases. Comparison of patients and controls revealed significant cognitive impairments in perceptual speed, executive function, short-term memory, and verbal fluency preoperatively and postoperatively. At 2 months' follow-up, perceptual speed and verbal fluency were still significantly impaired, whereas executive function and short-term memory were equal to that in the control group. None of the patients experienced cognitive deterioration after surgical therapy. CONCLUSION:Patients with frontal meningiomas display preoperative and postoperative deficits in perceptual speed, executive function, short-term memory, and verbal fluency. The risk for cognitive deterioration owing to surgical resection is low. Within the first two months after surgery, executive function and short-term memory appear to recover.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Hendrix P,Hans E,Griessenauer CJ,Simgen A,Oertel J,Karbach Jdoi
10.1016/j.wneu.2016.10.095subject
Has Abstractpub_date
2017-02-01 00:00:00pages
203-210eissn
1878-8750issn
1878-8769pii
S1878-8750(16)31084-1journal_volume
98pub_type
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2019.08.195
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pub_type: 传,历史文章,杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
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pub_type: 传,历史文章,杂志文章,评审
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journal_title:World neurosurgery
pub_type: 杂志文章,meta分析
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journal_title:World neurosurgery
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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更新日期:2018-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-02-01 00:00:00
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更新日期:2019-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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更新日期:2018-12-28 00:00:00
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pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2016-06-01 00:00:00