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Effect of Insular Glioma on Cognitive Function and Language
Tanya Zakhmi1, Manju Mohanty, Sushanta K Sahoo
1Department of Neurosurgery, PGIMER, Chandigarh, India.
Patients with insular glioma often have subtle cognitive impairments. Detailed neuropsychological assessments, including the Montreal Cognitive Assessment (MOCA) and Western Aphasia Battery (WAB), are crucial for detecting these deficits.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- The insula's proximity to critical functional areas makes insular gliomas a concern for cognitive function.
- Subtle cognitive decline in insular glioma patients may be missed by routine clinical evaluations.
Purpose of the Study:
- To conduct a detailed neuropsychological assessment of patients with insular glioma.
- To compare cognitive and language functions in insular glioma patients versus healthy controls.
Main Methods:
- Forty-six insular glioma patients and 30 healthy controls underwent assessment using the Montreal Cognitive Assessment (MOCA) and Western Aphasia Battery (WAB).
- Statistical comparisons were made between the patient and control groups.
Main Results:
- Insular glioma patients scored significantly lower on both MOCA and WAB compared to controls.
- Specific deficits were noted in aphasia quotient, naming, and comprehension.
- Left-sided lesions correlated with lower scores in recall memory, naming, and repetition.
Conclusions:
- Detailed neuropsychological assessments are essential for identifying subtle cognitive impairments in insular glioma patients.
- Cognitive and language functions are significantly affected in individuals with insular gliomas.
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