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van Nieuwenhuizen D, Ambachtsheer N, Heimans JJ, Reijneveld JC, Peerdeman SM, Klein M. Neurocognitive functioning and health-related quality of life in patients with radiologically suspected meningiomas. J Neurooncol 2013; 113:433-40. [PMID: 23640137 DOI: 10.1007/s11060-013-1132-4] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2012] [Accepted: 04/21/2013] [Indexed: 11/29/2022]
Abstract
Few data are available concerning the neurocognitive outcome and health-related quality of life (HRQOL) following neurosurgery in meningioma patients, and even less is known about neurocognitive functioning and HRQOL in untreated patients with stable lesions. The present study aims at quantifying the nature and extent of neurocognitive deficits and HRQOL in suspected WHO grade I meningioma patients who have not received surgery and/or radiotherapy and compare outcome to that of healthy controls. Neurocognitive functioning was assessed by using a standardized test battery in 21 radiologically suspected WHO grade I meningioma patients with a wait-and-scan approach. HRQOL was assessed with the MOS SF-36 questionnaire. These patients were matched for age, sex, and education with 21 healthy controls. Associations between neurocognitive functioning on the one hand and HRQOL and tumor characteristics on the other were determined. Compared to healthy controls, meningioma patients had lower psychomotor speed (p = 0.011) and working memory capacity (p = 0.034) and furthermore attained lower levels of self-perceived general health and vitality. Neurocognitive functioning in untreated patients was not related to tumor volume, edema or tumor lateralization. No correlations were found between psychomotor speed or working memory and HRQOL. Untreated meningioma patients with stable lesions have limitations in neurocognitive functioning and HRQOL. In deciding upon a treatment strategy these reductions in functioning should be taken into consideration and communicated with the patient.
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Affiliation(s)
- D van Nieuwenhuizen
- Department of Neurology - HP.2F 35, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
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Lucas MR, Armstrong TS, Acquaye A, Balachandran D, Mahajan A, Kang DH, Vera-Bolanos E, Gilbert MR, Lovely MP, Page M, Mogensen K, Arzbaecher J, Amidei C, Lupica K, Maher ME, Sherwood P, Kagan S, Sizoo EM, Pasman HRW, Reijneveld JC, Heimans JJ, Deliens L, Taphoorn MJ, Sheth R, Bagan BT, Baig MN, Karas C, Jacobs DI, Grimm SA, Rademaker A, Rice L, Chandler JP, Muro K, Marymount M, Helenowski IB, Wagner LI, Bennett CL, Raizer JJ, Evans A, Dhall G, Finlay J, Wong K, McComb G, Soffietti R, Mueller RP, Abacioglu U, Villa S, Fauchon F, Baumert B, Fariselli L, Tridello G, Kocher M, Bottomley A, Pendleton C, Adams H, Jallo GI, Carson BS, Ahn E, Quinones-Hinojosa A, Acquaye AA, Vera-Bolanos E, Armstrong TS, Bekele BN, Gilbert MR, Jacobs DI, Grimm SA, Rademaker A, Rice L, Chandler J, Muro K, Marymount M, Helenowski IB, Wagner LI, Raizer JJ, Nestor V, Fink K, Nashed M, Linskey M, Bota DA, Hoeben W, Hilverda K, Heimans JJ, Taphoorn MJ, Postma TJ, Buter J, Lenting J, Collette EH, Reijneveld JC, Klein M, van Nieuwenhuizen D, Bosscher L, Szymanska E, Heimans JJ, Peerdeman SM, Klein M, Reijneveld JC, van Nieuwenhuizen D, Erdmann T, Heimans JJ, Reijneveld JC, Peerdeman SM, Klein M, Lawrence Recht SN, Armstrong T, Vera-Bolanos E, Gning I, Acquaye A, Gilbert MR, Cleeland C, Mendoza TR, Jouniaux-Delbez N, Delattre JY, du Montcel ST, Butowski N, Parvataneni R, Nicole A, Lamborn K, Polley M, Clarke J, Chang S, Page M, Prados M, Liepa A, Shi P, Thornton D, Kahlenberg CA, Fadul CE, Scott R, Roberts DW, Thadani V, Bujarski K, Lallana EC, Jobst BC, Walker JG, Schultz D, Grisdale K, Groves MD, Peters KB, Reardon DA, Vredenburgh JJ, Desjardins A, Friedman HS, Allen DH, Carlson B, Neelon V, Giovanello K, Carlson J, Raynor R, Desjardins A, Rice L, Lall R, Ha S, Marymont M, Grimm S, Raizer J, Chandler J, Muro K, Keir ST. Quality of Life. Neuro Oncol 2010. [DOI: 10.1093/neuonc/noq116.s14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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O'Neil SH, Azoff J, Buranahirun C, Dhall G, Panigrahy A, Borchert M, Khatua S, Ji L, Sposto R, Finlay J, Gong X, Schwartz P, Linskey M, Bota DA, Wefel JS, Patwardhan SY, Strange C, Emily F, Celine A, Penelope K, Anne-Sophie C, Rolando DM, Michael P, Correa DD, Shi W, Abrey L, DeAngelis L, Thaler H, Habets EJ, Walchenbach R, Kloet A, Zwinkels H, Klein M, Vecht CJ, Taphoorn MJ, Ambachtsheer N, van Nieuwenhuizen D, Heimans JJ, Reijneveld JC, Peerdeman SM, Klein M, van Nieuwenhuizen D, Lagemaat C, Heimans JJ, Peerdeman SM, Klein M, Reijneveld JC, Peters KB, Reardon DA, Vredenburgh JJ, Desjardins A, Friedman HS, Driever PH, Koustenis E, Henze G, De Sonneville L, Rueckriegel SM, Mok K, Klein D, Del Maestro R, Petrecca K, Olivier A, Schanker BD, Curry WT, Edelstein K, Spiegler BJ, Fung S, Panzarella T, Hodgson DC, Mabbott DJ, Laperriere N, Tabori U, Bouffet E, Mason WP. Neuro-cognitive. Neuro Oncol 2010. [DOI: 10.1093/neuonc/noq116.s7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Dijkstra M, van Nieuwenhuizen D, Stalpers LJA, Wumkes M, Waagemans M, Vandertop WP, Heimans JJ, Leenstra S, Dirven CM, Reijneveld JC, Klein M. Late neurocognitive sequelae in patients with WHO grade I meningioma. J Neurol Neurosurg Psychiatry 2009; 80:910-5. [PMID: 18653549 DOI: 10.1136/jnnp.2007.138925] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Information on neurocognitive outcome following treatment of benign meningiomas is virtually lacking. This is remarkable considering that survival in these patients is the most favourable of all intracranial tumours. The aim of the present study was therefore to document the extent and nature of neurocognitive deficits in patients with World Health Organization (WHO) grade I meningioma after treatment. METHODS 89 patients with WHO grade I meningioma who underwent surgery with or without adjuvant radiotherapy were individually matched to 89 healthy controls for age, sex and educational level. Neurocognitive functioning of patients was assessed at least 1 year following treatment and compared with that of healthy controls using the Student's t test. Additionally, associations between tumour characteristics (size, lateralisation and localisation), treatment characteristics (radiotherapy) and epilepsy burden (based on seizure frequency and antiepileptic drug use) and neurocognitive functioning were investigated. RESULTS Compared with healthy controls, patients with meningioma showed significant impairments in executive functioning (p<0.001), verbal memory (p<0.001), information processing capacity (p = 0.001), psychomotor speed (p = 0.001) and working memory (p = 0.006). Patients with skull base meningiomas performed significantly lower on three out of six neurocognitive domains compared with convexity meningiomas. Left-sided as opposed to right-sided meningiomas were related to verbal memory deficits. A higher epilepsy burden was significantly associated with lower executive functioning which primarily could be attributed to antiepileptic drug use. No significant associations were established between neurocognitive status and radiotherapy or tumour volume. CONCLUSIONS Meningioma patients are characterised by long term deficits in neurocognitive functioning that can partly be attributed to the use of antiepileptic drugs and tumour location but not to the use of radiotherapy.
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Affiliation(s)
- M Dijkstra
- Department of Medical Psychology, VU University Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
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