Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Pirrotta, R; Jeanmonod, D; McAleese, S; Aufenberg, C; Opwis, K; Jenewein, J; Martin-Soelch, C.
Cognitive functioning, emotional processing, mood, and personality variables before and after stereotactic surgery: a study of 8 cases with chronic neuropathic pain.
Neurosurgery. 2013; 73(1):121-128
Doi: 10.1227/01.neu.0000429845.06955.70
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Jenewein Josef
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- Abstract:
- Stereotactic central lateral thalamotomy (CLT) has been applied as a treatment for chronic intractable neuropathic pain. However, it is not clear whether this intervention influences the emotional and cognitive impairments observed in patients who have chronic neuropathic pain. To investigate neuropsychological functions and emotional processing in patients with chronic neuropathic pain compared with healthy volunteers and to explore the neuropsychiatric effect of the CLT. We investigated pain ratings, cognitive functions, emotional processes, and personality variables before and after surgery in 8 patients with intractable neuropathic pain. Patients were tested before and 3 months after CLT by the use of neuropsychological tests; clinical scales for depression, anxiety, anhedonia, and anger regulation; a personality test; and 2 experimental tasks testing the theory of mind as well as the ability to recognize facial emotional expressions. Nine age- and sex-matched control subjects were tested once using the same procedure. The comparison of the patient group before surgery with the control group evidenced significant differences on the cognitive assessments, the depression and anxiety scores, as well as on the somatic complaint subscale of the personality test. Three months after CLT, patients experienced a significant improvement in their depression scores. There were no additional postsurgical cognitive impairments. For our patients with chronic neuropathic pain, CLT provided pain relief and reduction of their depression scores without causing postsurgical cognitive impairments.
- Find related publications in this database (using NLM MeSH Indexing)
- Affective Symptoms - diagnosis
- Affective Symptoms - etiology
- Chronic Pain - complications
- Chronic Pain - diagnosis
- Chronic Pain - surgery
- Cognition Disorders - diagnosis
- Cognition Disorders - etiology
- Female -
- Humans -
- Longitudinal Studies -
- Male -
- Middle Aged -
- Neuralgia - complications
- Neuralgia - diagnosis
- Neuralgia - surgery
- Pain Measurement -
- Personality Assessment -
- Stereotaxic Techniques - adverse effects
- Thalamus - surgery
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Neurocognition
- Neuropsychiatry
- Pain
- Stereotactic surgery
- Thalamus