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La neuropsychologie en neuro-oncologie

Considérations cliniques et proposition d’un examen neuropsychologique des patients atteints d’un gliome de bas grade

Neuropsychology in neuro-oncology

Clinical factors and recommendations for neuropsychological assessment in patients with low grade glioma

  • Article Original / Original Article
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Psycho-Oncologie

Résumé

Les tumeurs intracrâniennes, tous types confondus, sont fréquentes en neurologie. Leur incidence suit celle des accidents vasculaires cérébraux et des démences. Leur prise en charge implique un partenariat multidisciplinaire. Ainsi, à l’heure de la préservation de la qualité de vie en oncologie, la neuropsychologie prend une place croissante dans la préparation de la prise en charge des patients présentant ces tumeurs. En effet, tant dans son optique évaluative/diagnostique que du point de vue de la mise en place d’une rééducation cognitive ou d’une prise en charge comportementale, le neuropsychologue s’allie aux neuro-oncologue, neuroradiologue, anatomopathologiste, neurochirurgien, radiothérapeute… Cet article expose les grandes lignes de l’évaluation neuropsychologique, propose des pistes pour un « bilan type » basé sur l’expérience de l’auteur dans les tumeurs cérébrales primitives que sont les gliomes de bas grade et suggère une réduction de ce bilan au fur et à mesure de l’évolution et de l’aggravation de la pathologie pour préconiser en cas de métastases cérébrales un bilan minimaliste adapté.

Abstract

Primary and metastatic brain tumors are frequent, with an incidence following cerebrovascular accident and dementia. Brain tumor management requires a pluridisciplinary approach to preserve quality of life. Thus, neuropsychology is (or should be) an important point of view, ensuring pre- and post-treatment cognitive and behavioral assessment, per-operatory testing, and cognitive and behavioral revalidation. This paper deals with neuropsychological assessment and suggests guidelines for low grade glioma management in cognitive and behavioral neuropsychology. On the basis of these guidelines, we can make simpler, and less effortful for the patients, an assessment applied to cancerous tumor, low grade gliomas being precancerous ones. Author gives also guidelines for investigation of cognitive and behavioral abilities in cerebral metastasis.

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  1. EPSNF (établissement public de santé nationale de Fresnes), hôpital pénitentiaire, 1, allée des Thuyas, F-94832, Fresnes cedex, France

    M. Leroy

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  1. M. Leroy
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Leroy, M. La neuropsychologie en neuro-oncologie. Psycho Oncologie 4, 84–95 (2010). https://doi.org/10.1007/s11839-010-0262-6

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  • DOI: https://doi.org/10.1007/s11839-010-0262-6

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