成人脑肿瘤患者的术后认知康复。
Postacute Cognitive Rehabilitation for Adult Brain Tumor Patients.
机构信息
Department of Neurological Surgery, University of California San Francisco, San Francisco, California.
Department of Psychiatry, Zuckerberg San Francisco General Hospital, San Francisco, California.
出版信息
Neurosurgery. 2021 Nov 18;89(6):945-953. doi: 10.1093/neuros/nyaa552.
Abstract
Intrinsic brain tumors often occur within functional neural networks, leading to neurological impairment and disability of varying degrees. Advances in our understanding of tumor-network integration, human cognition and language processing, and multiparametric imaging, combined with refined intraoperative tumor resection techniques, have enhanced surgical management of intrinsic brain tumors within eloquent areas. However, cognitive symptoms impacting health-related quality of life, particularly processing speed, attention, concentration, working memory, and executive function, often persist after the postoperative recovery period and treatment. Multidisciplinary cognitive rehabilitation is the standard of care for addressing cognitive impairments in many neurological diseases. There is promising research to support the use of cognitive rehabilitation in adult brain tumor patients. In this review, we summarize the history and usefulness of postacute cognitive rehabilitation for adult brain tumor patients.
摘要
内在脑肿瘤通常发生在功能性神经网络内，导致不同程度的神经功能障碍和残疾。我们对肿瘤-网络整合、人类认知和语言处理以及多参数成像的理解的进步，结合精细的术中肿瘤切除技术，提高了在功能区内在脑肿瘤的手术管理。然而，影响健康相关生活质量的认知症状，特别是处理速度、注意力、集中力、工作记忆和执行功能，在术后恢复期和治疗后往往仍然存在。多学科认知康复是解决许多神经疾病认知障碍的标准护理。有很有前途的研究支持在成年脑肿瘤患者中使用认知康复。在这篇综述中，我们总结了成人脑肿瘤患者术后急性认知康复的历史和用途。
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