Craniopharyngioma Cognitive Function And Psychological Analysis And Correlation Studies

Objective: to study the patients with craniopharyngioma via pterion approach change in psychology and cognitive function before and after operation.Key to explore the preoperative and postoperative of craniopharyngioma patients personality characteristics,and the extent of the tumor surgery in patients with craniopharyngioma the influence of personality traits.Methods: between September 2014 and September 2014 were conform to the requirements of the 22 cases of adult patients with craniopharyngioma test related to preoperative psychology and cognitive function in the tests included wechsler intelligence test,MMPI in psychology and personality test,etc.Cases will be grouped into pterion approach into the way and the wing points into the lulu group,in the preoperative and postoperative patients with each group separately wechsler intelligence test and a number of personality tests of Minnesota(MMPI)questionnaire,collecting data of 25 cases,the preoperative and postoperative and comparing Chinese norm of the rating scale.Results:Preoperative in 36 cases,postoperative follow-up to the 25 cases,23 cases of craniopharyngioma,2 cases of teratoma.22 cases craniopharyngioma(1 case data for the test is not the screen out)postoperative IQ scores by 73% in the normal level.Via pterion approach with the pterion approach,groups in preoperative total IQ differences,postoperative total IQ differences were no significant statistical significance.Via pterion approach with the cases of postoperative pterion approach group can improve the preoperative IQ has statistical significance(p = 0.013),two groups of cases in no significant differences in working memory and short-term memory.IQ scores in different gender and hormone levels are no statistically significant difference between the normal group.Preoperative patients all subscales in Hs,D,Hy,Pd,Pt,Sc index was statisticallysignificant compared with norm,craniopharyngioma patients' average score than the norm.Patients with postoperative on D and Si indexes compared with preoperative was statistically significant(P < 0.05).Tumor classification and MMPI table,according to the relationship between the components in the patients with Type 2 level on preoperative Hy,Pd,Ma index than other significantly higher classification.Conclusion : Surgery via pterion approach,more than via pterion approach for postoperative patients with learning ability may have influence,may cause the loss of efficiency of patients with postoperative learning new things mild and intellectual level down,compared with preoperative but its influence factors remains to be further discussed.How many and the postoperative complications of severity may affect intelligence changes after surgery.Craniopharyngioma patients with type 2 grade levels and type 0 and type 1compared preoperative postoperative changes in personality characteristics have significant differences,patients with tumor invasion degree of the hypothalamus is important influence factors of cognition and personality change.Surgery the protection of the hypothalamus and other adjacent limbic system and after preoperative psychological counseling is very important.