Adolescents with vascular frontal lesion: A neuropsychological follow up case study.

Autor:	Chávez CL; Universidad Nacional Autónoma de México, FES Iztacala, México, D.F., Mexico; Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; University of Melbourne, Victoria, Australia. Electronic address: clara.chavezarana@mcri.edu.au., Yáñez G; Universidad Nacional Autónoma de México, FES Iztacala, México, D.F., Mexico., Catroppa C; Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; University of Melbourne, Victoria, Australia., Rojas S; Universidad Nacional Autónoma de México, FES Iztacala, México, D.F., Mexico., Escartin E; Universidad Nacional Autónoma de México, FES Iztacala, México, D.F., Mexico., Hearps SJ; Child Neuropsychology, Murdoch Children's Research Institute, Melbourne, Victoria, Australia., García A; Medical Unit of High Specialty 'La Raza' IMSS, Paediatric Neurosurgery Service, México, D.F., Mexico.
Jazyk:	angličtina
Zdroj:	Neurocirugia (Asturias, Spain) [Neurocirugia (Astur)] 2016 May-Jun; Vol. 27 (3), pp. 136-43. Date of Electronic Publication: 2015 Dec 10.
DOI:	10.1016/j.neucir.2015.09.001
Abstrakt:	The objective of this research was to identify clinically significant changes in cognitive functions in three adolescents who underwent surgery for resection of a focal vascular lesion in the frontal lobe. Cognitive functions, executive function, behavior regulation, emotion regulation, and social abilities were assessed prior to surgery, six and 24 months post-discharge. Significant clinical changes were observed during all the assessments. Cognitive changes after surgery are not homogeneous. Most of the significant clinical changes were improvements. Especially the significant clinical changes presented in EF domains were only improvements; these results suggest that EF were affected by the vascular lesion and benefitted by the surgery. After resection of a vascular lesion between 15 and 16 years of age the affected executive functions can continue the maturation process. Our results highlight the importance that assessments must include emotional aspects, even if deficits in these domains are not presented in the acute phase. Rehabilitation methods should promote the development of skills that help patients and their families to manage the emotional and behavioral changes that emerge once they are discharged from the hospital. (Copyright © 2015 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu