Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)

Introduction In the literature, there are conflicting data regarding the recovery of mental disorders, in particular, pathologies of the emotional, personality, behavioral and cognitive spheres, in patients after surgical treatment of tumors of the diencephalic region. Objectives To evaluate the...

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Main Authors: Y. Sidneva, L. Astaf’Eva, O. Zaitsev, P. Kalinin, B. Kadashev, M. Kutin, S. Urakov, I. Voronina, A. Shkarubo, D. Fomichev, D. Andreev, O. Sharipov
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821017120/type/journal_article
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author Y. Sidneva
L. Astaf’Eva
O. Zaitsev
P. Kalinin
B. Kadashev
M. Kutin
S. Urakov
I. Voronina
A. Shkarubo
D. Fomichev
D. Andreev
O. Sharipov
author_facet Y. Sidneva
L. Astaf’Eva
O. Zaitsev
P. Kalinin
B. Kadashev
M. Kutin
S. Urakov
I. Voronina
A. Shkarubo
D. Fomichev
D. Andreev
O. Sharipov
author_sort Y. Sidneva
collection DOAJ
description Introduction In the literature, there are conflicting data regarding the recovery of mental disorders, in particular, pathologies of the emotional, personality, behavioral and cognitive spheres, in patients after surgical treatment of tumors of the diencephalic region. Objectives To evaluate the dynamics of psychopathological disorders after removal of a craniopharyngioma. Methods 45 patients (18–68 y.o.), operated through transcranial access. The follow-up period ranged from 3 months to 9 years (on average 2.8 + 0.4). The main method is psychopathological, supplemented by rating scales and questionnaires. Results In the late postoperative period, mental disorders were detected in 75% of patients (Table 1). Table 1. Dynamics of the main psychopathological symptom complexes (n = 45). Disorders (may be a combination) Before surgery (n,%) 2 weeks after (n,%) 18 months after (n,%) Emotional and volitional 27 (60%) 27 (60%) 15 (33%) Cognitive - Korsakov syndrome 18 (40%) 4 (9%) 27 (59%) 8 (18%) 18 (40%) 7 (15%) Personality 21 (46%) 25 (55%) 23 (51%) The table shows that emotional-volitional disorders have a clear positive dynamics by 18 months after surgery compared with the preoperative level. Korsakov’s syndrome and personality disorders are less favorable. 23 patients (52%) returned to their previous profession; 22 (48%) stopped working due to a severe degree of disability, of which 7 (15%) need constant supervision. Conclusions The positive dynamics of psychopathological symptoms is observed only within 1.5 years after the removal of the craniopharyngioma, in the future they remain without a tendency to improve. 22 patients (48%) stopped working. The most severe degree of disability is 15% patients. Disclosure No significant relationships.
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spelling doaj.art-3ddce3c3dcea47f9b67892efa0aa00e92023-11-17T05:07:16ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S644S64510.1192/j.eurpsy.2021.1712Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)Y. Sidneva0L. Astaf’Eva1O. Zaitsev2P. Kalinin3B. Kadashev4M. Kutin5S. Urakov6I. Voronina7A. Shkarubo8D. Fomichev9D. Andreev10O. Sharipov11Psychiatric Research Group, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationPsychiatric Research Group, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationDiagnostic Department, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian FederationNeurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation Introduction In the literature, there are conflicting data regarding the recovery of mental disorders, in particular, pathologies of the emotional, personality, behavioral and cognitive spheres, in patients after surgical treatment of tumors of the diencephalic region. Objectives To evaluate the dynamics of psychopathological disorders after removal of a craniopharyngioma. Methods 45 patients (18–68 y.o.), operated through transcranial access. The follow-up period ranged from 3 months to 9 years (on average 2.8 + 0.4). The main method is psychopathological, supplemented by rating scales and questionnaires. Results In the late postoperative period, mental disorders were detected in 75% of patients (Table 1). Table 1. Dynamics of the main psychopathological symptom complexes (n = 45). Disorders (may be a combination) Before surgery (n,%) 2 weeks after (n,%) 18 months after (n,%) Emotional and volitional 27 (60%) 27 (60%) 15 (33%) Cognitive - Korsakov syndrome 18 (40%) 4 (9%) 27 (59%) 8 (18%) 18 (40%) 7 (15%) Personality 21 (46%) 25 (55%) 23 (51%) The table shows that emotional-volitional disorders have a clear positive dynamics by 18 months after surgery compared with the preoperative level. Korsakov’s syndrome and personality disorders are less favorable. 23 patients (52%) returned to their previous profession; 22 (48%) stopped working due to a severe degree of disability, of which 7 (15%) need constant supervision. Conclusions The positive dynamics of psychopathological symptoms is observed only within 1.5 years after the removal of the craniopharyngioma, in the future they remain without a tendency to improve. 22 patients (48%) stopped working. The most severe degree of disability is 15% patients. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821017120/type/journal_articleMental disordersemotional and personality disorderscraniopharyngiomapostoperative period
spellingShingle Y. Sidneva
L. Astaf’Eva
O. Zaitsev
P. Kalinin
B. Kadashev
M. Kutin
S. Urakov
I. Voronina
A. Shkarubo
D. Fomichev
D. Andreev
O. Sharipov
Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)
European Psychiatry
Mental disorders
emotional and personality disorders
craniopharyngioma
postoperative period
title Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)
title_full Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)
title_fullStr Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)
title_full_unstemmed Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)
title_short Emotional, personal, cognitive and other mental disorders after removal of the tumor of the diencephalic region (in the long-term period)
title_sort emotional personal cognitive and other mental disorders after removal of the tumor of the diencephalic region in the long term period
topic Mental disorders
emotional and personality disorders
craniopharyngioma
postoperative period
url https://www.cambridge.org/core/product/identifier/S0924933821017120/type/journal_article
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