涉及脑岛的癫痫的神经心理和行为结果:范围综述。

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-08-12 DOI:10.1080/13854046.2024.2388637
Tamara P Tavares, Julia M Young, Vanessa V Chen, Elizabeth N Kerr, Eva Mamak, Quenby Mahood, Mary Lou Smith
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引用次数: 0

摘要

目的:越来越多的癫痫患者认识到,岛叶是癫痫发作的常见部位。人们对了解岛叶癫痫的认知和心理后果越来越感兴趣,以帮助提供临床建议,支持患者的认知和社会心理功能,并帮助确定癫痫切除手术的候选者。本综述旨在描述与儿童和成人岛叶癫痫相关的认知和行为特征。方法:根据《系统综述和元分析的首选报告项目--范围界定综述的扩展》指南完成系统检索。符合条件的研究采用标准化或基于研究的心理测量方法,报告了岛叶癫痫患者(即发作灶和/或手术切除包括岛叶)和对比组的神经心理或行为结果。在删除重复内容后,从搜索中确定了 2423 条引文,并将 39 项研究纳入了范围界定综述。结果:在所有纳入的研究中,智力/整体认知功能和语言最常被评估。在小儿和成人岛叶癫痫患者的多个认知和行为过程中都发现了较低的功能。岛叶切除手术后,行为和认知结果一般比较稳定。结论:此次范围界定审查的结果进一步加深了神经心理学家对岛叶癫痫手术治疗前后的认知和行为结果的了解。这些结果有助于就潜在的认知功能障碍为患者提供咨询,并有助于制定治疗计划。
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Neuropsychological and behavioural outcomes in epilepsy involving the insula: A scoping review.

Objective: In patients with epilepsy, the insula has been increasingly recognized as a common site of seizures. There is growing interest in understanding the cognitive and psychological consequences of insular epilepsy to help provide clinical recommendations to support patient's cognitive and psychosocial functioning, and to help identify candidates for epilepsy resective surgery. The aim of this scoping review was to describe the cognitive and behavioural characteristics associated with insular epilepsy in children and adults. Method: A systematic search was completed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis -Extension for Scoping Reviews guidelines. Eligible studies reported on a neuropsychological or behavioural outcome, using standardized or research-based psychological measures, in individuals with insular epilepsy, (i.e. the seizure focus and/or surgical resection included the insula), and a comparison group. After duplicates were removed, 2,423 citations were identified from the search, and 39 studies were included in the scoping review. Results: Across the included studies, intellectual/global cognitive functioning and language were most often evaluated. Lower functioning was found across multiple cognitive and behavioural processes in pediatric and adult patients with insular epilepsy. Following resective surgery involving the insula, behavioural and cognitive outcomes are general stable. Conclusions: The results of this scoping review further neuropsychologists' knowledge of the cognitive and behavioural outcomes of insular seizures prior to and following surgical treatment. These results can aid in counselling patients of the potential cognitive dysfunctions, and aid with treatment planning.

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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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