Cognition in Chiari Malformation Type I: an Update of a Systematic Review.

IF 5.4 2区 心理学 Q1 NEUROSCIENCES Neuropsychology Review Pub Date : 2024-09-01 Epub Date: 2023-10-06 DOI:10.1007/s11065-023-09622-2
Maitane García, Imanol Amayra, Manuel Pérez, Monika Salgueiro, Oscar Martínez, Juan Francisco López-Paz, Philip A Allen
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Abstract

Chiari malformation has been classified as a group of posterior cranial fossa disorders characterized by hindbrain herniation. Chiari malformation type I (CM-I) is the most common subtype, ranging from asymptomatic patients to those with severe disorders. Research about clinical manifestations or medical treatments is still growing, but cognitive functioning has been less explored. The aim of this systematic review is to update the literature search about cognitive deficits in CM-I patients. A literature search was performed through the following electronic databases: MEDLINE, PsychINFO, Pubmed, Cochrane Library, Scopus, and Web of Science. The date last searched was February 1, 2023. The inclusion criteria were as follows: (a) include pediatric or adult participants with a CM-I diagnosis, (b) include cognitive or neuropsychological assessment with standardized tests, (c) be published in English or Spanish, and (d) be empirical studies. Articles that did not report empirical data, textbooks and conference abstracts were excluded. After the screening, twenty-eight articles were included in this systematic review. From those, twenty-one articles were focused on adult samples and seven included pediatric patients. There is a great heterogeneity in the recruited samples, followed methodology and administered neurocognitive protocols. Cognitive functioning appears to be affected in CM-I patients, at least some aspects of attention, executive functions, visuospatial abilities, episodic memory, or processing speed. However, these results require careful interpretation due to the methodological limitations of the studies. Although it is difficult to draw a clear profile of cognitive deficits related to CM-I, the literature suggests that cognitive dysfunction may be a symptom of CM-I. This suggest that clinicians should include cognitive assessment in their diagnostic procedures used for CM-I. In summary, further research is needed to determine a well-defined cognitive profile related to CM-I, favoring a multidisciplinary approach of this disorder.

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Chiari畸形I型的认知:系统综述的更新。
Chiari畸形被归类为一组以后脑突出为特征的后颅窝疾病。Chiari畸形I型(CM-I)是最常见的亚型,从无症状患者到有严重疾病的患者。关于临床表现或药物治疗的研究仍在增长,但对认知功能的探索较少。本系统综述的目的是更新关于CM-I患者认知缺陷的文献检索。通过以下电子数据库进行文献检索:MEDLINE、PsychINFO、Pubmed、Cochrane Library、Scopus和Web of Science。上次搜索的日期是2023年2月1日。纳入标准如下:(a)包括诊断为CM-I的儿童或成人参与者,(b)包括通过标准化测试进行的认知或神经心理评估,(c)以英语或西班牙语发表,(d)为实证研究。没有报告实证数据的文章、教科书和会议摘要被排除在外。筛选后,28篇文章被纳入本系统综述。其中,21篇文章集中在成人样本上,7篇包括儿科患者。在招募的样本、遵循的方法和实施的神经认知方案中存在很大的异质性。CM-I患者的认知功能似乎受到影响,至少在注意力、执行功能、视觉空间能力、情景记忆或处理速度的某些方面。然而,由于研究方法的局限性,这些结果需要仔细解释。尽管很难清楚地描述与CM-I相关的认知缺陷,但文献表明,认知功能障碍可能是CM-I的症状。这表明临床医生应该将认知评估纳入他们用于CM-I的诊断程序中。总之,需要进一步的研究来确定与CM-I相关的明确的认知特征,有利于对这种疾病采取多学科的方法。
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来源期刊
Neuropsychology Review
Neuropsychology Review 医学-神经科学
CiteScore
11.00
自引率
1.70%
发文量
36
期刊介绍: Neuropsychology Review is a quarterly, refereed publication devoted to integrative review papers on substantive content areas in neuropsychology, with particular focus on populations with endogenous or acquired conditions affecting brain and function and on translational research providing a mechanistic understanding of clinical problems. Publication of new data is not the purview of the journal. Articles are written by international specialists in the field, discussing such complex issues as distinctive functional features of central nervous system disease and injury; challenges in early diagnosis; the impact of genes and environment on function; risk factors for functional impairment; treatment efficacy of neuropsychological rehabilitation; the role of neuroimaging, neuroelectrophysiology, and other neurometric modalities in explicating function; clinical trial design; neuropsychological function and its substrates characteristic of normal development and aging; and neuropsychological dysfunction and its substrates in neurological, psychiatric, and medical conditions. The journal''s broad perspective is supported by an outstanding, multidisciplinary editorial review board guided by the aim to provide students and professionals, clinicians and researchers with scholarly articles that critically and objectively summarize and synthesize the strengths and weaknesses in the literature and propose novel hypotheses, methods of analysis, and links to other fields.
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