Preview

The Scientific Notes of the Pavlov University

Advanced search

Patient’s intellectual and memory impairments before and after resection of brain glioma

https://doi.org/10.24884/1607-4181-2019-26-2-47-55

Abstract

The objective of the study was the analysis and evaluation of patients` intellectual and memory impairments before and after resection of brain glioma

Material and methods. We performed the study of 30 patients with brain glioma. The diagnosis of the studied patients was based on clinical and laboratory data, data of radiation and instrumental methods of research. The analysis of patients` intellectual and memory impairments was carried out in the preoperative and early, late postoperative periods. The patients` age ranged from 25 to 65 years; the median age was 56.5 year. In the present study, we used the following tests: intelligence tests – Amthauer test (for persons under 60 years), Raven test; memory tests – 10 word memorization test, Wechsler memory scale.

Results. We revealed regression of various memory (from 100 to 96.7 %) and intellectual disorders (from 20 to 3.3 %; p<0.05). Short-term memory in patients with brain glioma revealed more pronounced changes in comparison with long-term memory disorders after surgery. Improvement of verbal and logical memory, visual and associative memory after surgical treatment was found. In the late postoperative period, there was an increase in the intelligence coefficient (p<0.05), a decrease in the number of patients with severe dementia (from 16.7 to 3.3 %) and an average intelligence level (from 30 to 13.3 %) (p<0,05). 

Conclusion. The study revealed that surgery led to regression of intellectual and memory disorders in patients with brain glioma.

About the Authors

V. Yu. Cherebillo
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022.


M. Yu. Kurnukhina
Pavlov University
Russian Federation

Competing Interests: 6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022.


References

1. Annegeres J. F., Scrhoenberg B. S., Okazoki H. Epidemiologic study of primary intracranial neoplasm. Arch Neurol. 1981;38:217–219.

2. Landis S. H., Murray J. Cancer statistics. CA Cancer J. Clin. 1999;49:8–31.

3. Macko D. E., Korshunov A. G. Atlas opuholej central’noj nervnoj sistemy. SPb, RNHI im. prof. A. L. Polenova, 1998:197. (In Russ.).

4. Newton H. B., Rosenblum M. K., Malkin M. G. Turcot’s syndrome. Flow cytometric analysis. Cancer. 1991; 68(7):1633–1639.

5. Ciric I., Ammirati M., Vick N. Supratentorial gliomas: surgical considerations and immediate post-operative results. Gross total resection versus partial resection. Neurosurgery. 1987;21:21–26.

6. Lacroix M., Abi-Said D., Fourney D. R. A multivariate analysis of 416 patients with glioblastoma multiform: prognosis, extent of resection, and survival. J. Neurosurg. 2001;95:190–198.

7. Gaidar B. V, Parfenov V. E, Gulyaev D. A, Kondakov E. N, Svistov D. V, Cherebillo V. Yu., Gayvoronsky A. I. Operative accesses in the surgery of the skull and brain. Bulletin of the Russian Military Medical Academy. 2011; 2(34):210–213. (In Russ.).

8. Agafonova I. N., Kolechenko A. K., Pogorelov G. A., Shekhovcova L. F. Metodiki izucheniya intellekta. Chast’ 1. SPb, 1991. (In Russ.).

9. Amthauer R. Intelligenz-Struktur-Test. Göttingen, Verl. f. Psychologie. 2, erw. u. verb. Aufl. 1955:43.

10. Raven J., Raven J. C., Court J. H. Manual for Raven’s Progressive Matrices and Vocabulary Scales. Sections 1–7 with 3 Research Supplements. San Antonio, TX, Harcourt Assessment. 1998, updated 2004.

11. Wechsler D. A standardized memory scale for clinical use. J Psychol. 1945;19:87–95.

12. Luriya A. R. Zauchivanie 10 slov. Al’manah psihologicheskih testov. Moscow, 1995:92–94. (In Russ.).

13. Vojtenko R. M., Sakovskaya V. G., Filippova M. P. Izmeneniya psihicheskih processov i metody ih issledovaniya. Znachenie v MSE. Uchebno-metodicheskoe posobie. SPb, AJSING, 2012:27–33. (In Russ.).

14. Byyul A., Zoefel P. SPSS: The art of information processing. Analysis of statistical data and the restoration of hidden patterns. SPb, DiaSoftTU, 2005:608. (In Russ.).

15. Nasledov A. IBM SPSS Statistics 20 and Amos: Professional statistical analysis of data. Practical guidance. SPb, Piter, 2013:416. (In Russ.).

16. Crooks V., Waller S., Smith T., Hahn T. J. The use of the Karnofsky Performance Scale in determining outcomes and risk in geriatric outpatients. J. Gerontol. 1991; 46:139–144.

17. Karnofsky D., Burchenal J. The clinical evaluation of chemotherapeutic agents in cancer. Evaluation of Chemotherapeutic Agents / MacLeod C., ed. New York, Columbia Univ. Press, 1949:191–205.

18. Kiyashchenko N. K. Narusheniya pamyati pri lokal’nyh porazheniyah mozga. Moscow, Moskovskij universitet, 1973. (In Russ.).

19. Moore A. J. Brain tumors. What are the general and focal effects? Postgrad Med. 1988 Aug;84(2):163–166.

20. Barzilai O., Ben Moshe S., Sitt R., Sela G., Shofty B., Ram Z. Improvement in cognitive function after surgery for low-grade glioma. J. Neurosurg. 2018;1–9.

21. Ng J. C. H., See A. A. Q., Ang T. Y., Tan L. Y. R., Ang T., King N. K. K. Effects of surgery on neurocognitive function in patients with glioma: a meta-analysis of immediate post-operative and long-term follow-up neurocognitive outcomes. J Neurooncol. 2019 Jan;141(1):167–182.


Review

For citations:


Cherebillo V.Yu., Kurnukhina M.Yu. Patient’s intellectual and memory impairments before and after resection of brain glioma. The Scientific Notes of the Pavlov University. 2019;26(2):47-55. (In Russ.) https://doi.org/10.24884/1607-4181-2019-26-2-47-55

Views: 7771


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)