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Published on: December 4, 2013
Memory deficits among children with craniopharyngiomas
S C Carpentieri1, D P Waber, R M Scott
1Division of Psychology, Department of Psychiatry, Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, Massachusetts 02115, USA. sarah.carpentier@carpenburymed.com
Insights
Children treated for craniopharyngiomas showed average cognitive function but experienced memory recall difficulties. Neuropsychological testing focusing on memory retrieval is recommended for their ongoing care.
Area of Science:
- Pediatric Neuro-oncology
- Neuropsychology
- Neurosurgery
Background:
- Craniopharyngiomas are rare pediatric brain tumors.
- Surgical resection is a primary treatment modality.
- Understanding long-term neurocognitive sequelae is crucial.
Purpose of the Study:
- To evaluate neuropsychological functioning, particularly cognition and memory, in pediatric patients post-craniopharyngioma surgery.
- To identify specific cognitive deficits following treatment.
Main Methods:
- A cohort of 16 pediatric patients (ages 6-15) treated with surgery for craniopharyngioma was assessed.
- Neuropsychological evaluations focused on cognitive abilities and memory domains.
Main Results:
- Overall cognitive functioning was within the average range.
- Language and visuospatial abilities were generally preserved.
- Specific deficits in memory retrieval were observed across both verbal and visual domains.
Conclusions:
- While general cognition remains intact, surgical treatment for craniopharyngioma can lead to memory retrieval impairments.
- Routine neuropsychological assessment, emphasizing memory recall, should be integrated into the management of these patients.
Objective:
To describe neuropsychological functioning (with a specific focus on cognition and memory) after surgical treatment of craniopharyngiomas.
Methods:
Sixteen patients who were between 6 and 15 years of age at the time of surgery comprised the sample. Each child had been treated for a craniopharyngioma with surgery only, on Dana-Farber Cancer Institute Protocol 92-077.
Results:
The overall level of cognitive functioning was well within the average range, with both language and visuospatial functioning being generally intact; however, specific memory problems, in both the language and visuospatial domains, were evident.
Conclusion:
Although general cognitive functioning was intact after the surgical treatment of craniopharyngiomas, difficulties in the retrieval of learned information were observed. Neuropsychological assessments, with a focus on memory recall, should be a component of the medical management plan for each child.
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Amnesia
The severity and duration of memory loss vary depending on the type and underlying cause. Amnesia is classified into two main types: retrograde and anterograde.
Retrograde amnesia is marked by the loss of memories formed before the onset of the condition. Patients may recall distant past events but often forget those occurring shortly before the incident.
Anterograde...

