Journal
NEUROSURGERY
Volume 89, Issue 6, Pages 945-953Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1093/neuros/nyaa552
Keywords
Glioma; Brain tumor; Eloquent area brain tumors; Cognitive outcomes; Neurocognitive outcomes; Cognitive rehabilitation; Primary brain tumor; Cognitive rehab
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Funding
- LoGlio Collective
- Sheri Sobrato Brisson Brain Cancer Fund
- Robert Wood Johnson Foundation [74259]
- NINDS [K08 110919-01]
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Intrinsic brain tumors often occur within functional neural networks, and postoperative cognitive rehabilitation is the standard treatment for addressing postoperative cognitive impairments.
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.
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