Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review
In recent years, neuroendoscopic treatment of hydrocephalus and various ventricular pathologies has become increasingly popular. It is considered by many as the first-choice treatment for the majority of these cases. However, neurocognitive complications following ventricular neuroendoscopic procedu...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.1155/2020/2536319 |
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| author | Jehuda Soleman Raphael Guzman |
| author_facet | Jehuda Soleman Raphael Guzman |
| author_sort | Jehuda Soleman |
| collection | DOAJ |
| description | In recent years, neuroendoscopic treatment of hydrocephalus and various ventricular pathologies has become increasingly popular. It is considered by many as the first-choice treatment for the majority of these cases. However, neurocognitive complications following ventricular neuroendoscopic procedures may occur leading mostly to amnesia, which might have a grave effect on the patient’s quality of life. Studies assessing neurocognitive complications after ventricular neuroendoscopic procedures are sparse. Therefore, we conducted a systematic review assessing the available literature of neurocognitive complications and outcome after ventricular neuroendoscopy. Of 1216 articles screened, 46 were included in this systematic review. Transient and permanent neurocognitive complications in 2804 ventricular neuroendoscopic procedures occurred in 2.0% (n=55) and 1.04% (n=28) of the patients, respectively. Most complications described are memory impairment, followed by psychiatric symptoms (psychosyndrome), cognitive impairment not further specified, declined executive function, and confusion. However, only in 20% of the series describing neurocognitive complications or outcome (n=40) was neurocognition assessed by a trained neuropsychologist in a systematic manner. While in most of these series only a part of the included patients underwent neuropsychological testing, neurocognitive assessment was seldom done pre- and postoperatively, long-term follow up was rare, and patient’s cohorts were small. A paucity of studies analyzing neurocognitive complications and outcome, through systematic neuropsychological testing, and the correlation with intraoperative lesions of neuronal structures (e.g., fornix) exists in the literature. Therefore, the neurocognitive and emotional morbidity after ventricular neuroendoscopic procedures might be underestimated and warrants further research. |
| format | Article |
| id | doaj-art-6c3a1f3197a14580bcff4e6a89a3f980 |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-6c3a1f3197a14580bcff4e6a89a3f9802025-08-20T03:33:45ZengWileyBehavioural Neurology0953-41801875-85842020-01-01202010.1155/2020/25363192536319Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic ReviewJehuda Soleman0Raphael Guzman1Department of Neurosurgery, University Hospital of Basel, Basel, SwitzerlandDepartment of Neurosurgery, University Hospital of Basel, Basel, SwitzerlandIn recent years, neuroendoscopic treatment of hydrocephalus and various ventricular pathologies has become increasingly popular. It is considered by many as the first-choice treatment for the majority of these cases. However, neurocognitive complications following ventricular neuroendoscopic procedures may occur leading mostly to amnesia, which might have a grave effect on the patient’s quality of life. Studies assessing neurocognitive complications after ventricular neuroendoscopic procedures are sparse. Therefore, we conducted a systematic review assessing the available literature of neurocognitive complications and outcome after ventricular neuroendoscopy. Of 1216 articles screened, 46 were included in this systematic review. Transient and permanent neurocognitive complications in 2804 ventricular neuroendoscopic procedures occurred in 2.0% (n=55) and 1.04% (n=28) of the patients, respectively. Most complications described are memory impairment, followed by psychiatric symptoms (psychosyndrome), cognitive impairment not further specified, declined executive function, and confusion. However, only in 20% of the series describing neurocognitive complications or outcome (n=40) was neurocognition assessed by a trained neuropsychologist in a systematic manner. While in most of these series only a part of the included patients underwent neuropsychological testing, neurocognitive assessment was seldom done pre- and postoperatively, long-term follow up was rare, and patient’s cohorts were small. A paucity of studies analyzing neurocognitive complications and outcome, through systematic neuropsychological testing, and the correlation with intraoperative lesions of neuronal structures (e.g., fornix) exists in the literature. Therefore, the neurocognitive and emotional morbidity after ventricular neuroendoscopic procedures might be underestimated and warrants further research.http://dx.doi.org/10.1155/2020/2536319 |
| spellingShingle | Jehuda Soleman Raphael Guzman Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review Behavioural Neurology |
| title | Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review |
| title_full | Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review |
| title_fullStr | Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review |
| title_full_unstemmed | Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review |
| title_short | Neurocognitive Complications after Ventricular Neuroendoscopy: A Systematic Review |
| title_sort | neurocognitive complications after ventricular neuroendoscopy a systematic review |
| url | http://dx.doi.org/10.1155/2020/2536319 |
| work_keys_str_mv | AT jehudasoleman neurocognitivecomplicationsafterventricularneuroendoscopyasystematicreview AT raphaelguzman neurocognitivecomplicationsafterventricularneuroendoscopyasystematicreview |