嗅觉膜瘤患者的认知,情感和行为功能:系统性审查
Anton Pashkov1,2,3, Elena Filimonova4,5,6, Alexandra Poptsova4,6
1FSBI "Federal Center of Neurosurgery", Novosibirsk, Russia. antonpashkov03@gmail.com.
Neurosurgical review
|May 29, 2025
概括
嗅觉膜瘤 (OGM) 经常导致认知和行为问题. 虽然手术后可能有一些恢复,但较大的瘤和特定的方法可能会阻碍进展,需要进一步研究.
科学领域:
- 神经科学是一个神经科学.
- 神经外科 神经外科
- 精神病学是一个精神病学.
背景情况:
- 嗅觉膜瘤 (OGM) 与认知,情感和行为缺陷有关.
- 在转基因患者中,这些症状尚未得到充分了解.
- 了解这些缺陷对于改善患者治疗结果至关重要.
研究的目的:
- 系统地审查OGM患者认知,情感和行为缺陷的患病率,性质和术后结果.
- 为了确定影响神经心理恢复的因素.
- 为了指导未来的转基因患者治疗策略.
主要方法:
- 按照PRISMA指南进行了系统审查,搜索了PubMed,谷歌学者和ScienceDirect.
- 包括报告OGM患者认知,情感或行为症状的研究.
- 数据提取和偏差风险评估由两位独立审稿人进行.
主要成果:
- 38项研究符合纳入标准,显示OGM患者中精神症状的高患病率 (14-100%).
- 常见的缺陷包括记忆和注意力问题,混乱,迷失方向,抑郁,冷漠和行为变化.
- 迷你精神状态检查 (MMSE) 评分的术后改善表明认知恢复,受瘤大小和手术方法的影响.
结论:
- 认知,情感和行为缺陷在OGM患者中很常见,但往往被诊断不足.
- 标准化评估的有限使用和小样本大小需要更严格的研究.
- 未来的研究应该专注于多中心合作,前性设计和经过验证的工具,以优化转基因生物的患者护理.
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