Abstract Details

Title Cognitive Sequelae of Radiotherapy in Primary Brain Tumors

Topic Neuro-oncology

Presentation(s) P6 - Poster Session 6 (5:30 PM-6:30 PM)

Poster/Presentation
Number 4-005

Objective The aim of this study was to conduct a systematic review on neurocognitive effects of radiotherapy in patients with primary brain tumors.

Background Maximal safe resection is the treatment for most primary brain tumors. Depending on the type of tumor and extension of resection, further treatment may be required. The use of radiotherapy (RT) has changed from whole-brain to less invasive approaches, including gamma-knife and stereotactic radiosurgery. Radionecrosis and leukoencephalopathy have been identified as consequences of these treatments, affecting cognitive functions.

Design/Methods A systematic search was done using different databases. Sixteen articles were analyzed including casecontrol, cross-sectional, case-series, case-report designs, use of surgery and RT or RT alone with post-therapy cognitive function assessment.

Results Cognitive function varied depending on the type of tumor and RT dose used. Higher deficits were reported in executive functions, verbal processing, attention, and memory. Other contributing factors in neuropsychological performance included major surgical morbidity, delayed diagnosis, age at diagnosis, type of RT used, number of interventions, size, type and localization of the tumor, and assessment time after treatment.

Conclusions Considering negative effects of RT in both children and adults with brain tumors, is important to better direct therapeutic interventions and consider strategies to detect and prevent the progression of these impacts.

Authors/Disclosures
Sofia Ramirez Guerrero, MD PRESENTER	Dr. Ramirez Guerrero has nothing to disclose.
	No disclosure on file
	No disclosure on file
Claudia Talero-Gutierrez (Universidad del Rosario)	Dr. Talero-Gutierrez has nothing to disclose.

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