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Master Thesis

Bilan cognitif préopératoire des patients adultes atteints de tumeurs cérébrales supratentorielles : revue de littérature

Abstract : Objective: Realization of a preoperative cognitive assessment becomes a gold standard for low grade glioma patients. Patients with other intracranial tumors do not systematically benefit from a preoperative cognitive assessment. The aim of this systematic review is to provide an overview of the preoperative cognitive assessment carried out for these patients.
Method: PubMed, Cochrane and LiSSa databases were explored, with the keywords "Brain neoplasms"-"Cognition" and "Tumeur du cerveau”-“Troubles de la cognition”. Inclusion dates were from January 2000 to December 2019. The study population was adult patients with intracranial supratentorial tumors, apart low grade glioma, requiring surgery.
Results: Eleven clinical studies were included after 96 articles reviewing. Seven included meningiomas, 4 pituitary adenomas, 3 high-grade gliomas and 2 brain metastases. Preoperative deficits, which varied according to the location of the lesion, were found in 74% of patients. The preoperative cognitive assessment contained 5 to 16 tasks, lasted between 11 and 75 minutes and was not adapted to patient characteristics.
Discussion: While the preoperative cognitive assessment is becoming systematic for low-grade gliomas, it is less performed for other brain tumors, and is neither standardized. The implementation of a systematic and standardized preoperative cognitive assessment would improve the care of patients harboring brain tumors.
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Submitted on : Wednesday, January 27, 2021 - 9:51:40 AM
Last modification on : Tuesday, June 22, 2021 - 5:01:24 PM
Long-term archiving on: : Wednesday, April 28, 2021 - 6:27:36 PM


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  • HAL Id : dumas-03122517, version 1


Hélène de Guerry de Beauregard. Bilan cognitif préopératoire des patients adultes atteints de tumeurs cérébrales supratentorielles : revue de littérature. Sciences cognitives. 2020. ⟨dumas-03122517⟩



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