Journal of Neurology

, Volume 254, Issue 1, pp 60–66 | Cite as

Visual attention in patients with intracranial arachnoid cysts

  • Hilde Gundersen
  • Christian A. Helland
  • Maria Baroy Raeder
  • Kenneth Hugdahl
  • Knut Wester
ORIGINAL COMMUNICATION

Abstract

Objective

To investigate whether intracranial arachnoid cysts (AC) compromise visual attention and if so, whether surgical cyst decompression leads to improvement in visual attention performance.

Methods

The experiments were carried out on 27 patients with temporal (n = 21) or frontal (n = 6) AC, and 27 healthy control subjects. All subjects were tested with two different visual attention paradigms. Patients were tested one day before and a minimum of 3 months after the surgery, with the same test–retest interval for the controls.

Results

AC impair both automatic and effortful attention. These attention impairments were significantly improved after surgery, also when controlling for learning and practice effects from pre- to post-surgery testing. Closer analysis showed that these effects were carried by patients with right hemisphere cysts for impairment in shift of attention, and by patients with a left hemisphere cyst for visual search.

Conclusions

AC may impair visual attention. Cyst location may be of importance for the development of these attention deficits, as there were significant differences between patients with right hemisphere cysts and those with left hemisphere cysts. This dyscognition appears to be reversible following surgical decompression. Surgical decompression of AC may thus relieve not only clinical symptoms and complaints, but cognitive impairments as well.

Keywords

arachnoid cysts attentional deficits cognition improvement 

Notes

Acknowledgement

The research was financially supported by grants from the Research Council of Norway (RCN) to Knut Wester and Kenneth Hugdahl.

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Copyright information

© Steinkopff Verlag Darmstadt 2007

Authors and Affiliations

  • Hilde Gundersen
    • 1
  • Christian A. Helland
    • 2
    • 3
  • Maria Baroy Raeder
    • 2
    • 3
  • Kenneth Hugdahl
    • 1
  • Knut Wester
    • 2
    • 3
  1. 1.Dept. of Biological and Medical PsychologyUniversity of BergenBergenNorway
  2. 2.Section for Neurosurgery, Dept. of Surgical SciencesUniversity of BergenBergenNorway
  3. 3.Dept. of NeurosurgeryHaukeland University HospitalBergenNorway

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