Procedimentos neurocirúrgicos e avaliação neuropsicológica: relato de caso

Mattos, Paulo; Araújo, Alexandra Pruffer de Q. C.

doi:10.1590/S0004-282X1997000300025

Resumos

Os autores apresentam os resultados da avaliação neuropsicológica pré e pós-cirúrgica de um menino com epilepsia refratária secundária a tumor cerebral. Os deficits cognitivos revelados eram sutis e insuspeitos ao exame regular, havendo também poucas queixas clínicas associadas. São feitas correlações entre os achados neuropsicológicos e neuroanatômicos e são comentadas as melhoras secundárias à intervenção neurocirúrgica. Ressalta-se a importância dos testes neuropsicológicos no contexto dos procedimentos neurocirúrgicos.

neuropsicologia; neurocirurgia; epilepsia

The authors present the results from the neuropsychological examination of a boy suffering from refractory epilepsy due to a brain tumor. Cognitive deficits were subtle and were not disclosed during ordinary interview; there were few complaints also. Correlations between neuropsychological and neuroanatomical aspects are commented as well as the benefits from the neurosurgical intervention. The importance of neuropsychological testing in the setting of neurosurgical proceedings is emphasized.

neuropsychology; neurosurgery; epilepsy

Procedimentos neurocirúrgicos e avaliação neuropsicológica: relato de caso

Neurosurgical interventions and neuropsychological examination: case report

Paulo Mattos^I; Alexandra Pruffer de Q. C. Araújo^II

^IProfessor Adjunto da Universidade Federal da Rio de Janeiro (UFRJ) Coordenador do Projeto Integrado de Neuropsicologia do Instituto de Psiquiatria da UFRJ

^IIProfessor Assistente de Neurologia Infantil da UFRJ

RESUMO

Os autores apresentam os resultados da avaliação neuropsicológica pré e pós-cirúrgica de um menino com epilepsia refratária secundária a tumor cerebral. Os deficits cognitivos revelados eram sutis e insuspeitos ao exame regular, havendo também poucas queixas clínicas associadas. São feitas correlações entre os achados neuropsicológicos e neuroanatômicos e são comentadas as melhoras secundárias à intervenção neurocirúrgica. Ressalta-se a importância dos testes neuropsicológicos no contexto dos procedimentos neurocirúrgicos.

Palavras-chave: neuropsicologia, neurocirurgia, epilepsia.

ABSTRACT

The authors present the results from the neuropsychological examination of a boy suffering from refractory epilepsy due to a brain tumor. Cognitive deficits were subtle and were not disclosed during ordinary interview; there were few complaints also. Correlations between neuropsychological and neuroanatomical aspects are commented as well as the benefits from the neurosurgical intervention. The importance of neuropsychological testing in the setting of neurosurgical proceedings is emphasized.

Key words: neuropsychology, neurosurgery, epilepsy.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 26-março-1997.

Dr. Paulo Mattos - Rua Paulo Barreto 91 - 22810-010 Rio de Janeiro RJ - Brasil. E-mail: pmattos@ibm.net

1. Aarts JHP, Binnie CD, Smit AM, Wilkins AJ. Selective cognitive impairment during focal and generalized epileptiform EEG activity. Brain 1984;107:293-308.
2. Awad IA, Rosenfeld J, AHL J et al. Intractable epilepsy and structural lesions of the brain: mapping, ressection strategies and seizure outcome. Epilepsia, 1991;32:179-186.
3. Benton AL, Hamsher K. Multilingual aphasia examination. Iowa City: Department of Neurology, University of Iowa Hospital and Clinics, 1983.
4. Brainer-Lima PT, Rao S, Cukiert A et al. Surgical treatment of refractory epilepsy associated with space occupying lesions. Arq Neuropsiquiatr 1996;54:384-392.
⁵
Diagnosis and statistical manual Ed 4. Washington: American Psychiatric Association, 1994.
6. Dodríll CB, Wilensky AJ. Neuropsychological abilities before and after S years of stable antiepileptic drug therapy. Epilepsia 1992;33:327-334.
7. Duchesne M, Manos PE. Epilepsia e distúrbios do aprendizado e comportamento em crianças: importância na prática clínica. Arq Bras Pediat, 1994;1:37-41.
8. Gardner M. Expressive one-word picture vocabulary test manual and form, Novato, California: Academic Therapy Publ 1979.
9. Gardner M. Receptive one-word picture vocabulary test manual and form, Novato, California: Academic Therapy Publ 1985.
10. Gardner M. Test of visual perceptual skills, San Francisco: Health Publ Co, 1988.
11. Garfinkel BD, Carlson GA, Weller EB. Transtornos psiquiátricos na infância e adolescência. Porto Alegre: Artes Médicas, 1992:171-184.
12. Lezak M. Neuropsychological assessment. Ed 3. New York: Oxford Univ Press, 1995:676-677.
13. Lezak M. Neuropsychological assessment. Ed 3: New York: Oxford Univ Press, 1995:429-427
14. Lezak M. Neuropsychological assessment. Ed 3. New York: Oxford Univ Press, 1995:376-379
15. Sheslow D, Adams W. Wide range assessment of memory and learning administration manual, New York: JASTAK, 1990.
16. Sutton LN, Packer RJ, Rorke LB et al. Cerebral gangliomas during childhood. Neurosurgery, 1983;13:124-128.
17. Wechsler D. Manual for the Wechster intelligence scale for children - revised. San Antonio, Texas: Psychological Corporation, 1974.

Datas de Publicação

Publicação nesta coleção
18 Out 2010
Data do Fascículo
Set 1997

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Aarts JHP, Binnie CD, Smit AM, Wilkins AJ. Selective cognitive impairment during focal and generalized epileptiform EEG activity. Brain 1984;107:293-308.

[2] 2. Awad IA, Rosenfeld J, AHL J et al. Intractable epilepsy and structural lesions of the brain: mapping, ressection strategies and seizure outcome. Epilepsia, 1991;32:179-186.

[3] 3. Benton AL, Hamsher K. Multilingual aphasia examination. Iowa City: Department of Neurology, University of Iowa Hospital and Clinics, 1983.

[4] 4. Brainer-Lima PT, Rao S, Cukiert A et al. Surgical treatment of refractory epilepsy associated with space occupying lesions. Arq Neuropsiquiatr 1996;54:384-392.

[5] ⁵
Diagnosis and statistical manual Ed 4. Washington: American Psychiatric Association, 1994.

[6] 6. Dodríll CB, Wilensky AJ. Neuropsychological abilities before and after S years of stable antiepileptic drug therapy. Epilepsia 1992;33:327-334.

[7] 7. Duchesne M, Manos PE. Epilepsia e distúrbios do aprendizado e comportamento em crianças: importância na prática clínica. Arq Bras Pediat, 1994;1:37-41.

[8] 8. Gardner M. Expressive one-word picture vocabulary test manual and form, Novato, California: Academic Therapy Publ 1979.

[9] 9. Gardner M. Receptive one-word picture vocabulary test manual and form, Novato, California: Academic Therapy Publ 1985.

[10] 10. Gardner M. Test of visual perceptual skills, San Francisco: Health Publ Co, 1988.

[11] 11. Garfinkel BD, Carlson GA, Weller EB. Transtornos psiquiátricos na infância e adolescência. Porto Alegre: Artes Médicas, 1992:171-184.

[12] 12. Lezak M. Neuropsychological assessment. Ed 3. New York: Oxford Univ Press, 1995:676-677.

[13] 13. Lezak M. Neuropsychological assessment. Ed 3: New York: Oxford Univ Press, 1995:429-427

[14] 14. Lezak M. Neuropsychological assessment. Ed 3. New York: Oxford Univ Press, 1995:376-379

[15] 15. Sheslow D, Adams W. Wide range assessment of memory and learning administration manual, New York: JASTAK, 1990.

[16] 16. Sutton LN, Packer RJ, Rorke LB et al. Cerebral gangliomas during childhood. Neurosurgery, 1983;13:124-128.

[17] 17. Wechsler D. Manual for the Wechster intelligence scale for children - revised. San Antonio, Texas: Psychological Corporation, 1974.