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Filling the gap: brief neuropsychological assessment protocol for glioma patients undergoing awake surgeries.
Ohy, Juliana Bastos; Formentin, Cleiton; Gripp, Daniel Andrade; Nicácio, Joab Alves; Velho, Maíra Cristina; Vilany, Larissa Núbia; Greggianin, Gabriel Frizon; Sartori, Beatriz; Campos, Ana Carolina Pinheiro; Verst, Silvia Mazzali; Maldaun, Marcos Vinicius Calfat.
Afiliação
  • Ohy JB; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Formentin C; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Gripp DA; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Nicácio JA; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Velho MC; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Vilany LN; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Greggianin GF; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Sartori B; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Campos ACP; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Verst SM; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
  • Maldaun MVC; Department of Neuro-Oncology, Sírio Libanês Hospital, Sao Paulo, Brazil.
Front Psychol ; 15: 1417947, 2024.
Article em En | MEDLINE | ID: mdl-39184943
ABSTRACT

Introduction:

The literature lacks a concise neurocognitive test for assessing primary cognitive domains in neuro-oncological patients. This study aims to describe and assess the feasibility of the Ohy-Maldaun Fast Track Cognitive Test (OMFTCT), used to pre- and post-operatively evaluate patients undergoing brain tumor surgery in language eloquent areas. The cognitive diagnosis was used to safely guide intraoperative language assessment.

Methods:

This is a prospective longitudinal observational clinical study conducted on a cohort of 50 glioma patients eligible for awake craniotomies. The proposed protocol assesses multiple cognitive domains, including language, short-term verbal and visual memories, working memory, praxis, executive functions, and calculation ability. The protocol comprises 10 different subtests, with a maximum score of 50 points, and was applied at three time points preoperative, immediately postoperative period, and 30 days after surgery.

Results:

Among the initial 50 patients enrolled, 36 underwent assessment at all three designated time points. The mean age of the patients was 45.3 years, and they presented an average of 15 years of education. The predominant tumor types included Glioblastoma, IDH-wt (44.1%), and diffuse astrocytoma, IDH-mutant (41.2%). The tumors were located in the left temporal lobe (27.8%), followed by the left frontal lobe (25%). The full test had an average application time of 23 min.

Conclusion:

OMFTCT provided pre- and postoperative assessments of different cognitive domains, enabling more accurate planning of intraoperative language testing. Additionally, recognition of post-operative cognitive impairments played a crucial role in optimizing patient care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Front Psychol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Front Psychol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça