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

Published online by Cambridge University Press:  13 August 2021

Y. Sidneva ,
L. Astaf’Eva ,
O. Zaitsev ,
P. Kalinin ,
B. Kadashev ,
M. Kutin ,
S. Urakov ,
I. Voronina ,
A. Shkarubo  and
D. Fomichev
...Show all authors
Y. Sidneva*
Affiliation:
Psychiatric Research Group, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
L. Astaf’Eva
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
O. Zaitsev
Affiliation:
Psychiatric Research Group, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
P. Kalinin
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
B. Kadashev
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
M. Kutin
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
S. Urakov
Affiliation:
Diagnostic Department, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
I. Voronina
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
A. Shkarubo
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
D. Fomichev
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
D. Andreev
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
O. Sharipov
Affiliation:
Neurosurgery, N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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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 volitional27 (60%)27 (60%)15 (33%)
Cognitive - Korsakov syndrome18 (40%) 4 (9%)27 (59%) 8 (18%)18 (40%) 7 (15%)
Personality21 (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.

Keywords

Mental disordersemotional and personality disorderscraniopharyngiomapostoperative period
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S644 - S645
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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