脑内膜瘤患者的神经认知评估:一个系统性审查
Christina K Arvaniti1, Alexandros G Brotis1, Maria E Karaferi2
1Department of Neurosurgery, University Hospital of Larissa, Larissa, 41110, Greece.
Brain & spine
|September 2, 2025
概括
脑膜瘤严重影响记忆和执行功能等认知功能. 虽然许多认知领域在手术后得到改善,但为了更好的患者结果,需要标准化的神经认知评估.
科学领域:
- 神经学
- 神经瘤学
- 认知科学
背景情况:
- 脑膜瘤是影响生活质量的常见内瘤.
- 在脑膜瘤患者中观察到神经认知障碍,行为变化和精神症状.
研究的目的:
- 对脑内膜瘤患者进行神经认知评估.
- 识别受影响的认知领域,评估工具和影响认知结果的瘤相关因素.
主要方法:
- 一个符合PRISMA的PubMed,Scopus和Dimensions系统审查.
- 包括30项研究与文献搜索到2025年1月31日.
主要成果:
- 受影响的认知领域包括执行功能,记忆,注意力和视觉空间能力.
- 常见的评估工具是WAIS,RAVLT,WMS,TMT,Stroop测试和中枢神经系统生命体征.
- 瘤大小,年龄,周围和位置 (头骨底部) 与较差的认知能力相关.
结论:
- 脑膜瘤显著损害认知功能,但术后通常会出现改善.
- 建议在脑膜瘤患者中使用标准化神经认知评估组,以获得可比且可靠的结果.
相关概念视频
Cranial and Spinal Meninges
4.5K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
4.5K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
Increased Intracranial Pressure l: Introduction
27
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component...
27
Increased Intracranial Pressure ll: Pathophysiology
20
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins...
20


