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Neurocognitive assessment before and after cranioplasty
AGNER C; DUJOVNY M; GAVIRIA M
ACTA NEUROCHIR (Wien) , 2002, vol. 144, n° 10, p. 1033-1040 Doc n°: 107357 Localisation : Documentation IRR Descripteurs : AF1 - ETUDES GENERALES - ENCEPHALE, AD6 - MANIFESTATIONS NEUROCOMPORTEMENTALES - FONCTIONS COGNITIVES This paper addresses the possible value of neurocognitive tests on the evaluation of patients before and after cranioplasty for large cranial defects. Methods. In a single patient with a large corrected cranial defect a detailed neurocognitive analysis was performed utilizing the EXIT interview and Cognistat before and after surgery. Planning and development of the surgical prosthesis were based on the pre-operative reconstruction of the head CT and on pre-operative pictures of the patient. Xenon-CT anatomical and quantitative cerebral blood flow (CBF) analysis was performed before and periodically after cranioplasty. Findings. A significant improvement in major cognitive functions was observed after surgery. Interpretation. Cognistat is a detailed neuropsychological battery that permits a better assessment of patients in diverse neurological conditions. The EXIT interview gives a better rapid assessment of cognition not provided by other methods, such as the mini-mental status examination (MMSE). The utilization of these techniques permits a better understanding of long-term outcomes for patients with diverse neurological conditions, including post-cranioplasty patients. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2003225438 |
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