Publish in this journal
Journal Information
Vol. 31. Issue 6.
Pages 279-288 (November - December 2020)
Share
Share
Download PDF
More article options
ePub
Visits
...
Vol. 31. Issue 6.
Pages 279-288 (November - December 2020)
Clinical Research
DOI: 10.1016/j.neucie.2020.08.001
Neuropsychological management of awake patient surgery: a protocol based on 3 years' experience with glial tumours
Protocolo de intervención neuropsicológica en lacirugía del paciente despierto: experiencia de 3años con tumores gliales
Visits
...
Blanca Navarro-Maina,b,c,
Corresponding author
bnavarromain@gmail.com

Corresponding author.
, Luis Jiménez-Roldána,b,d, Pedro González Leona,b,d, Ana M. Castaño-Leóna,b,d, Alfonso Lagaresa,b,d, Ángel Pérez-Nuñeza,b,d
a Servicio de Neurocirugía, Hospital 12 de Octubre, Madrid, Spain
b Instituto de Investigación Biomédica i + 12, Madrid, Spain
c Departamento de Psicología Básica II, Facultad de Psicología UNED, Madrid, Spain
d Departamento de Cirugía, Facultad de Medicina UCM, Madrid, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (3)
Show moreShow less
Tables (5)
Table 1. Variables related to patients and pathology.
Table 2. Variables related to the surgical procedure.
Table 3. Distribution of patients in each of the intraoperative protocol tasks.
Table 4. Wilcoxon signed-rank test comparing cognitive performance in each neuropsychological test between the pre- and post-immediate time points. Level of significance 0.05.
Table 5. Wilcoxon signed-rank test comparing cognitive performance in each neuropsychological test between the pre- and 6-months-post time points. Level of significance 0.05.
Show moreShow less
Additional material (1)
Abstract
Introduction

Glial brain tumours usually require neurosurgical treatment and they are associated with cognitive, emotional and behavioural impairments. Awake intraoperative brain mapping is the gold standard technique used to optimise the onco-functional balance. Neuropsychological assessment and intervention have relevance in this type of procedures. Currently, there is a lack of protocolled structure for the neuropsychological intervention being able to satisfy patient needs.

Method

A retrospective descriptive study of 52 patients was performed, all of them with a diagnosis of glial tumour. The structure of the protocol developed in our centre is reported, also data of neuropsychological evaluation, comparing baseline performance with both immediate posterior performance, and long term performance.

Results

We describe our experience in each step of the intervention, highlighting the development of eight neurocognitive protocols for intraoperative brain mapping. The results of the neuropsychological examination objectify deficits in the immediate after surgery assessment which are reduced in the long-term assessment.

Conclusions

We emphasize the need of providing and structuring the cognitive and emotional aspects of patients suffering from any pathology that entails acquired brain damage in hospital environment. This type of approach is aimed at increasing the quality of life of cancer patients by structuring and optimizing tasks during their surgical intervention and attending to the neuropsychological difficulties they suffer.

Keywords:
Awake patient surgery
Glioma
Cognition
Oncology
Intraoperative brain mapping
Resumen
Introducción

Los tumores cerebrales gliales precisan habitualmente de un tratamiento neuroquirúrgico y se asocian con diversas alteraciones cognitivas, emocionales y comportamentales. El mapeo cerebral intraoperatorio es la técnica por excelencia utilizada para optimizar el equilibrio onco-funcional. La valoración e intervención desde la perspectiva neuropsicológica tiene gran relevancia en este tipo de procedimientos. Actualmente, se carece de una estructura protocolizada para la exploración y el seguimiento neuropsicológico que estos pacientes necesitan.

Método

Se realiza un estudio descriptivo retrospectivo de 52 pacientes, todos ellos con diagnóstico de tumor glial, describiendo la estructura del protocolo desarrollado en nuestro centro. Se analizan los datos de la evaluación neuropsicológica, comparando el rendimiento inicial de los pacientes con su rendimiento posterior a la cirugía a corto y a largo plazo.

Resultados

Se describe nuestra experiencia en algunas las fases del protocolo, detallando las tareas que se han desarrollado para valorar a los pacientes dentro del quirófano. Los resultados de los datos de las evaluaciones neuropsicológicas objetivan déficits en el momento posterior a la cirugía que remiten en la valoración a largo plazo.

Conclusiones

Destacamos la necesidad de dar espacio y protocolizar en la asistencia hospitalaria los aspectos cognitivos y emocionales de los pacientes que sufren cualquier patología que conlleve daño cerebral adquirido. Este tipo de abordaje está orientado a aumentar la calidad de vida de los pacientes oncológicos estructurando y optimizando las tareas durante su intervención quirúrgica, pero también atendiendo a las dificultades neuropsicológicas que manifiesten.

Palabras clave:
Cirugía paciente despierto
Glioma
Cognición
Oncología
Mapeo cerebral intraoperatorio

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)

Subscribe to our newsletter

Article options
Tools
Supplemental materials
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.