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Depression after surgery for acoustic neuroma
G C Blomstedt1, H Katila, M Henriksson
1Department of Neurosurgerey, Helsinki University Central Hospital, Finland
Journal of Neurology, Neurosurgery, and Psychiatry
|October 1, 1996
Summary
Post-surgery, 38% of acoustic neuroma patients developed depressive disorders. Hearing loss and being female were associated with depression, with 69% of affected patients being women.
Area of Science:
- Neurosurgery
- Psychiatry
- Audiology
Background:
- Acoustic neuroma (vestibular schwannoma) is a benign tumor.
- Surgery for acoustic neuroma can lead to significant postoperative complications.
- The psychological impact, specifically depressive disorders, requires further investigation.
Purpose of the Study:
- To determine the incidence and characteristics of depressive disorders following acoustic neuroma surgery.
- To identify factors associated with the development of postoperative depression in these patients.
Main Methods:
- Prospective study design.
- Psychiatric assessments conducted preoperatively and at 3 and 12 months post-surgery.
- Statistical analysis to identify correlations between clinical factors and depression.
Main Results:
- Nine out of 24 (38%) patients developed depressive disorders by 3 months post-surgery.
- Hearing deterioration was significantly associated with depression (P=0.024).
- All nine patients with depression were female (69% incidence), and 33% still experienced depression at 12 months.
Conclusions:
- Depressive disorders are a significant concern after acoustic neuroma surgery.
- Female gender and hearing loss are key risk factors for developing postoperative depression.
- Long-term psychiatric monitoring may be necessary for at-risk patients.