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Neurocognitive Assessment of Mathematics-Related Capacities in Neurosurgical Patients.
Castaldi, Elisa; Bonaudo, Camilla; Maduli, Giuseppe; Anobile, Giovanni; Pedone, Agnese; Capelli, Federico; Arrighi, Roberto; Della Puppa, Alessandro.
Afiliación
  • Castaldi E; Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, 50135 Florence, Italy.
  • Bonaudo C; Neurosurgery, Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, University Hospital of Careggi, 50134 Florence, Italy.
  • Maduli G; Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, 50135 Florence, Italy.
  • Anobile G; Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, 50135 Florence, Italy.
  • Pedone A; Neurosurgery, Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, University Hospital of Careggi, 50134 Florence, Italy.
  • Capelli F; Neurosurgery, Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, University Hospital of Careggi, 50134 Florence, Italy.
  • Arrighi R; Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, 50135 Florence, Italy.
  • Della Puppa A; Neurosurgery, Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, University Hospital of Careggi, 50134 Florence, Italy.
Brain Sci ; 14(1)2024 Jan 10.
Article en En | MEDLINE | ID: mdl-38248284
ABSTRACT
A precise neuropsychological assessment is of the utmost importance for neurosurgical patients undergoing the surgical excision of cerebral lesions. The assessment of mathematical abilities is usually limited to arithmetical operations while other fundamental visuo-spatial aspects closely linked to mathematics proficiency, such as the perception of numerical quantities and geometrical reasoning, are completely neglected. We evaluated these abilities with two objective and reproducible psychophysical tests, measuring numerosity perception and non-symbolic geometry, respectively. We tested sixteen neuro-oncological patients before the operation and six after the operation with classical neuropsychological tests and with two psychophysical tests. The scores of the classical neuropsychological tests were very heterogeneous, possibly due to the distinct location and histology of the tumors that might have spared (or not) brain areas subserving these abilities or allowed for plastic reorganization. Performance in the two non-symbolic tests reflected, on average, the presumed functional role of the lesioned areas, with participants with parietal and frontal lesions performing worse on these tests than patients with occipital and temporal lesions. Single-case analyses not only revealed some interesting exceptions to the group-level results (e.g., patients with parietal lesions performing well in the numerosity test), but also indicated that performance in the two tests was independent of non-verbal reasoning and visuo-spatial working memory. Our results highlight the importance of assessing non-symbolic numerical and geometrical abilities to complement typical neuropsychological batteries. However, they also suggest an avoidance of reliance on an excessively rigid localizationist approach when evaluating the neuropsychological profile of oncological patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Brain Sci Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Brain Sci Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza