title: Cognitive functioning in meningioma patients: a systematic review.
abstract: This systematic review evaluates relevant findings and methodologic aspects of studies on cognitive functioning in meningioma patients prior to and/or following surgery with or without adjuvant radiotherapy. PubMed and Web of Science electronic databases were searched until December 2015. From 1012 initially identified articles, 11 met the inclusion criteria for this review. Multiple methodological limitations were identified which include the lack of pre-treatment assessments, variations in the number and types of neuropsychological tests used, the normative data used to identify patients with cognitive deficits, and the variety of definitions for cognitive impairment. Study results suggest that most of meningioma patients are faced with cognitive deficits in several cognitive domains prior to surgery. Following surgery, most of these patients seem to improve in cognitive functioning. However, they still have impairments in a wide range of cognitive functions compared to healthy controls. Suggestions are given for future research. Adequate diagnosis and treatment of cognitive deficits may ultimately lead to improved outcome and quality of life in meningioma patients.
authors.affiliation: Department of Cognitive Neuropsychology, Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
authors.forename: Ikram
authors.initials: I
authors.lastname: Meskal
authors.affiliation: Department of Cognitive Neuropsychology, Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, The Netherlands. k.gehring@uvt.nl.|Department of Neurosurgery, St Elisabeth Hospital, Tilburg, The Netherlands. k.gehring@uvt.nl.
authors.forename: Karin
authors.initials: K
authors.lastname: Gehring
authors.affiliation: Department of Neurosurgery, St Elisabeth Hospital, Tilburg, The Netherlands.
authors.forename: Geert-Jan M
authors.initials: GJ
authors.lastname: Rutten
authors.affiliation: Department of Cognitive Neuropsychology, Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
authors.forename: Margriet M
authors.initials: MM
authors.lastname: Sitskoorn
mesh_terms: D003071:Cognition; D006801:Humans; D008577:Meningeal Neoplasms / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery; D008579:Meningioma / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery
keywords: Attention; Cognition; Executive functions; Memory; Meningioma; Neuropsychological; Neurosurgery; Radiotherapy