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.
Abstract

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