Impact of bilateral anterior cingulotomy on neurocognitive function in patients with intractable pain
Abstract Although the cingulate cortices are important with regard to neurocognitive functions, outcome studies usually fail to identify evident cognitive dysfunction following anterior cingulotomy. The aim of this study was to document any impairment of neurocognitive functions following anterior c...
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| Veröffentlicht in: | Journal of clinical neuroscience 2009-02, Vol.16 (2), p.214-219 |
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| creator | Yen, Chun-Po Kuan, Chu-Yun Sheehan, Jason Kung, Sui-Sum Wang, Chin-Chui Liu, Ching-Kuan Kwan, Aij Lie |
| description | Abstract Although the cingulate cortices are important with regard to neurocognitive functions, outcome studies usually fail to identify evident cognitive dysfunction following anterior cingulotomy. The aim of this study was to document any impairment of neurocognitive functions following anterior cingulotomy. Between September 2002 and April 2004, 10 patients underwent stereotactic bilateral anterior cingulotomy for intractable cancer pain. A neuropsychological assessment of each patient was performed 1 day prior to surgery and 1 week and 1 month post-operatively. Assessment of pain relief was evaluated with a short form of the McGill pain questionnaire. Six of the 10 patients achieved fair to good pain relief following the cingulotomy procedure. Most neurocognitive functions, including language, memory, motor, visual-constructional, and intellectual functions, remained unaffected. A decline in focused attention performance was identified at the early post-operative assessment. The results of this longitudinal evaluation will help to better define the risk-to-benefit profile of cingulotomy for intractable pain. |
| doi_str_mv | 10.1016/j.jocn.2008.04.008 |
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The aim of this study was to document any impairment of neurocognitive functions following anterior cingulotomy. Between September 2002 and April 2004, 10 patients underwent stereotactic bilateral anterior cingulotomy for intractable cancer pain. A neuropsychological assessment of each patient was performed 1 day prior to surgery and 1 week and 1 month post-operatively. Assessment of pain relief was evaluated with a short form of the McGill pain questionnaire. Six of the 10 patients achieved fair to good pain relief following the cingulotomy procedure. Most neurocognitive functions, including language, memory, motor, visual-constructional, and intellectual functions, remained unaffected. A decline in focused attention performance was identified at the early post-operative assessment. The results of this longitudinal evaluation will help to better define the risk-to-benefit profile of cingulotomy for intractable pain.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1016/j.jocn.2008.04.008</identifier><identifier>PMID: 19101146</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Analysis of Variance ; Attention ; Cancer ; Cingulate cortex ; Cingulotomy ; Cognition Disorders - etiology ; Cognitive function ; Female ; Follow-Up Studies ; Gyrus Cinguli - surgery ; Humans ; Magnetic Resonance Imaging - instrumentation ; Male ; Middle Aged ; Neurology ; Neuropsychological Tests ; Neurosurgical Procedures - adverse effects ; Pain ; Pain Measurement ; Pain, Intractable - pathology ; Pain, Intractable - physiopathology ; Pain, Intractable - surgery ; Problem Solving ; Psychomotor Performance ; Retrospective Studies ; Visual Perception</subject><ispartof>Journal of clinical neuroscience, 2009-02, Vol.16 (2), p.214-219</ispartof><rights>Elsevier Ltd</rights><rights>2008 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-ea8b5a557893946d3f27da017db98a276bf5f51cf4aae74960f1d5f650d8d7ed3</citedby><cites>FETCH-LOGICAL-c441t-ea8b5a557893946d3f27da017db98a276bf5f51cf4aae74960f1d5f650d8d7ed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jocn.2008.04.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19101146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yen, Chun-Po</creatorcontrib><creatorcontrib>Kuan, Chu-Yun</creatorcontrib><creatorcontrib>Sheehan, Jason</creatorcontrib><creatorcontrib>Kung, Sui-Sum</creatorcontrib><creatorcontrib>Wang, Chin-Chui</creatorcontrib><creatorcontrib>Liu, Ching-Kuan</creatorcontrib><creatorcontrib>Kwan, Aij Lie</creatorcontrib><title>Impact of bilateral anterior cingulotomy on neurocognitive function in patients with intractable pain</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>Abstract Although the cingulate cortices are important with regard to neurocognitive functions, outcome studies usually fail to identify evident cognitive dysfunction following anterior cingulotomy. The aim of this study was to document any impairment of neurocognitive functions following anterior cingulotomy. Between September 2002 and April 2004, 10 patients underwent stereotactic bilateral anterior cingulotomy for intractable cancer pain. A neuropsychological assessment of each patient was performed 1 day prior to surgery and 1 week and 1 month post-operatively. Assessment of pain relief was evaluated with a short form of the McGill pain questionnaire. Six of the 10 patients achieved fair to good pain relief following the cingulotomy procedure. Most neurocognitive functions, including language, memory, motor, visual-constructional, and intellectual functions, remained unaffected. A decline in focused attention performance was identified at the early post-operative assessment. The results of this longitudinal evaluation will help to better define the risk-to-benefit profile of cingulotomy for intractable pain.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Attention</subject><subject>Cancer</subject><subject>Cingulate cortex</subject><subject>Cingulotomy</subject><subject>Cognition Disorders - etiology</subject><subject>Cognitive function</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gyrus Cinguli - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - instrumentation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pain, Intractable - pathology</subject><subject>Pain, Intractable - physiopathology</subject><subject>Pain, Intractable - surgery</subject><subject>Problem Solving</subject><subject>Psychomotor Performance</subject><subject>Retrospective Studies</subject><subject>Visual Perception</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsGK1TAUDaI4z6c_4EK6clatSZukKYggw6gDAy5mXIc0uRlT2-SZpCPv7015DwQXszpw7zkH7jkXobcENwQT_mFqpqB902IsGkybAs_QjrCurVvOuudohwfe10xwcYFepTRhjAfa4ZfoggzFgFC-Q3CzHJTOVbDV6GaVIaq5Ur6gC7HSzj-sc8hhOVbBVx7WGHR48C67R6js6nV2Ze58dVDZgc-p-uPyzzLIsbiqcYaycf41emHVnODNGffox5fr-6tv9e33rzdXn29rTSnJNSgxMsVYL4ZuoNx0tu2NwqQ34yBU2_PRMsuItlQp6OnAsSWGWc6wEaYH0-3R5cn3EMPvFVKWi0sa5ll5CGuSQnS4Y7Sks0fvn2RyLrDAZCjE9kTUMaQUwcpDdIuKR0mw3GqQk9xqkFsNElNZoIjend3XcQHzT3LOvRA-nghQ0nh0EGXSJT8NxkXQWZrgnvb_9J9cz847reZfcIQ0hTX6krMkMrUSy7vtEbY_KCeVm3rW_QVscrAF</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Yen, Chun-Po</creator><creator>Kuan, Chu-Yun</creator><creator>Sheehan, Jason</creator><creator>Kung, Sui-Sum</creator><creator>Wang, Chin-Chui</creator><creator>Liu, Ching-Kuan</creator><creator>Kwan, Aij Lie</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20090201</creationdate><title>Impact of bilateral anterior cingulotomy on neurocognitive function in patients with intractable pain</title><author>Yen, Chun-Po ; Kuan, Chu-Yun ; Sheehan, Jason ; Kung, Sui-Sum ; Wang, Chin-Chui ; Liu, Ching-Kuan ; Kwan, Aij Lie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-ea8b5a557893946d3f27da017db98a276bf5f51cf4aae74960f1d5f650d8d7ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Attention</topic><topic>Cancer</topic><topic>Cingulate cortex</topic><topic>Cingulotomy</topic><topic>Cognition Disorders - etiology</topic><topic>Cognitive function</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gyrus Cinguli - surgery</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - instrumentation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Pain, Intractable - pathology</topic><topic>Pain, Intractable - physiopathology</topic><topic>Pain, Intractable - surgery</topic><topic>Problem Solving</topic><topic>Psychomotor Performance</topic><topic>Retrospective Studies</topic><topic>Visual Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yen, Chun-Po</creatorcontrib><creatorcontrib>Kuan, Chu-Yun</creatorcontrib><creatorcontrib>Sheehan, Jason</creatorcontrib><creatorcontrib>Kung, Sui-Sum</creatorcontrib><creatorcontrib>Wang, Chin-Chui</creatorcontrib><creatorcontrib>Liu, Ching-Kuan</creatorcontrib><creatorcontrib>Kwan, Aij Lie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yen, Chun-Po</au><au>Kuan, Chu-Yun</au><au>Sheehan, Jason</au><au>Kung, Sui-Sum</au><au>Wang, Chin-Chui</au><au>Liu, Ching-Kuan</au><au>Kwan, Aij Lie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of bilateral anterior cingulotomy on neurocognitive function in patients with intractable pain</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>16</volume><issue>2</issue><spage>214</spage><epage>219</epage><pages>214-219</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>Abstract Although the cingulate cortices are important with regard to neurocognitive functions, outcome studies usually fail to identify evident cognitive dysfunction following anterior cingulotomy. The aim of this study was to document any impairment of neurocognitive functions following anterior cingulotomy. Between September 2002 and April 2004, 10 patients underwent stereotactic bilateral anterior cingulotomy for intractable cancer pain. A neuropsychological assessment of each patient was performed 1 day prior to surgery and 1 week and 1 month post-operatively. Assessment of pain relief was evaluated with a short form of the McGill pain questionnaire. Six of the 10 patients achieved fair to good pain relief following the cingulotomy procedure. Most neurocognitive functions, including language, memory, motor, visual-constructional, and intellectual functions, remained unaffected. A decline in focused attention performance was identified at the early post-operative assessment. The results of this longitudinal evaluation will help to better define the risk-to-benefit profile of cingulotomy for intractable pain.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>19101146</pmid><doi>10.1016/j.jocn.2008.04.008</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Analysis of Variance Attention Cancer Cingulate cortex Cingulotomy Cognition Disorders - etiology Cognitive function Female Follow-Up Studies Gyrus Cinguli - surgery Humans Magnetic Resonance Imaging - instrumentation Male Middle Aged Neurology Neuropsychological Tests Neurosurgical Procedures - adverse effects Pain Pain Measurement Pain, Intractable - pathology Pain, Intractable - physiopathology Pain, Intractable - surgery Problem Solving Psychomotor Performance Retrospective Studies Visual Perception |
| title | Impact of bilateral anterior cingulotomy on neurocognitive function in patients with intractable pain |
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