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Neurocognitive and psychological profiles in pediatric arachnoid cyst
Young Seok Park1, Soyong Eom, Kyu-Won Shim
1Department of Pediatric Neurosurgery, Severance Children's Hospital, Brain Research Institute, Yonsei University College of Medicine, 134, Shinchon-dong, Seodaemoon-gu, Seoul 120-752, Republic of Korea.
Insights
Intracranial arachnoid cysts (AC) can impact neurocognitive and psychological functions in children. While some ACs showed no difference from controls, others, particularly left-sided or frontal, were linked to increased anxiety and higher parenting stress.
Area of Science:
- Pediatric Neurology
- Neuropsychology
- Developmental Psychology
Background:
- Intracranial arachnoid cysts (AC) are congenital malformations that can affect brain development and function.
- The impact of AC on neurocognitive and psychological well-being in pediatric populations requires further investigation.
Purpose of the Study:
- To determine if intracranial arachnoid cysts (AC) affect neurocognitive function and psychological profiles in children.
- To identify clinical factors, such as cyst location and presentation, associated with these effects.
Main Methods:
- Neurocognitive and psychological assessments were conducted on 35 pediatric patients with AC and 35 healthy controls.
- Assessments included measures of intelligence, memory, attention, executive function, behavioral problems, emotional distress, and parenting stress.
- AC locations were categorized as temporal, frontal, suprasellar, and posterior fossa.
Main Results:
- AC were associated with impairments in neurocognitive function and psychological assessments.
- Left hemisphere and frontal AC locations correlated with increased anxiety.
- Children with AC incidentally found after trauma exhibited higher intelligence and better executive function.
Conclusions:
- Intracranial AC can impair certain neurocognitive and psychological functions in pediatric patients.
- Parenting stress was significantly higher in families of children with AC compared to controls.
- AC location and presentation influence the specific neurocognitive and psychological outcomes observed.
Objective:
This study aims to investigate whether intracranial arachnoid cysts (AC) compromise neurocognitive function and psychological profiles in pediatric patients, depending on various clinical factors.
Methods:
We assessed neurocognitive functions and psychological tests in 35 AC patients and 35 healthy control subjects between October 2007 and April 2008. AC patients ranged in age from 3 to 15 (7.94 +/- 3.12) years old and control patients from 5 to 13 (8.84 +/- 2.17) years old. The location of the AC were temporal (n = 22), frontal (n = 6), suprasellar (n = 4), and posterior fossa (n = 3). Patients underwent neurocognitive and psychological assessments before surgery. To investigate which AC impair neurocognitive function and psychological profile, we assessed intelligence, memory, attention, executive function, behavioral problems, emotional distress, and parenting stress.
Results:
AC caused some demonstrated impairment by both neurocognitive function and psychological assessments. Left hemisphere AC tended to have more anxiety; mood changes can be detected depending on cyst grade. An incidental finding of AC after trauma is more intelligent, well-reserved executive function. Frontal locations tended to cause more anxiety than temporal locations.
Conclusions:
Our results imply that intracranial AC impairs some neurocognitive and psychological functions. An incidental finding of AC after trauma was a more intelligent, well-reserved executive function. AC in the left hemisphere, frontal location tended to cause more anxiety. The AC itself did not cause differences in neurocognitive function from the control group. However, parenting stress in the AC group was much higher than in the control group.
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