Cognition in Chiari Malformation Type I: an Update of a Systematic Review
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Published:2023-10-06
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ISSN:1040-7308
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Container-title:Neuropsychology Review
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language:en
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Short-container-title:Neuropsychol Rev
Author:
García MaitaneORCID, Amayra ImanolORCID, Pérez ManuelORCID, Salgueiro MonikaORCID, Martínez OscarORCID, López-Paz Juan FranciscoORCID, Allen Philip A.ORCID
Abstract
AbstractChiari malformation has been classified as a group of posterior cranial fossa disorders characterized by hindbrain herniation. Chiari malformation type I (CM-I) is the most common subtype, ranging from asymptomatic patients to those with severe disorders. Research about clinical manifestations or medical treatments is still growing, but cognitive functioning has been less explored. The aim of this systematic review is to update the literature search about cognitive deficits in CM-I patients. A literature search was performed through the following electronic databases: MEDLINE, PsychINFO, Pubmed, Cochrane Library, Scopus, and Web of Science. The date last searched was February 1, 2023. The inclusion criteria were as follows: (a) include pediatric or adult participants with a CM-I diagnosis, (b) include cognitive or neuropsychological assessment with standardized tests, (c) be published in English or Spanish, and (d) be empirical studies. Articles that did not report empirical data, textbooks and conference abstracts were excluded. After the screening, twenty-eight articles were included in this systematic review. From those, twenty-one articles were focused on adult samples and seven included pediatric patients. There is a great heterogeneity in the recruited samples, followed methodology and administered neurocognitive protocols. Cognitive functioning appears to be affected in CM-I patients, at least some aspects of attention, executive functions, visuospatial abilities, episodic memory, or processing speed. However, these results require careful interpretation due to the methodological limitations of the studies. Although it is difficult to draw a clear profile of cognitive deficits related to CM-I, the literature suggests that cognitive dysfunction may be a symptom of CM-I. This suggest that clinicians should include cognitive assessment in their diagnostic procedures used for CM-I. In summary, further research is needed to determine a well-defined cognitive profile related to CM-I, favoring a multidisciplinary approach of this disorder.
Funder
Universidad de Deusto
Publisher
Springer Science and Business Media LLC
Subject
Neuropsychology and Physiological Psychology
Reference90 articles.
1. Abeshaus, S., Friedman, S., Poliachik, S., Poliakov, A., Shaw, D., Ojemann, J. G., & Ellenbogen, R. G. (2012, October 6–10). Diffusion tensor imaging changes with decompression of Chiari I malformation [poster]. Annual Meeting Congress of Neurological Surgeons, Chicago, USA. https://doi.org/10.1227/01.neu.0000417804.07223.5d 2. Akar, E., Kara, S., Akdemir, H., & Kırış, A. (2017). 3D structural complexity analysis of cerebellum in Chiari malformation type I. Medical and Biological Engineering and Computing, 55(12), 2169–2182. https://doi.org/10.1007/s11517-017-1661-7 3. Allen, P. A., Delahanty, D., Kaut, K. P., Li, X., Garcia, M., Houston, J. R., Tokar, D. M., Loth, F., Maleki, J., Vorster, S., & Luciano, M. G. (2018). Chiari 1000 registry project: Assessment of surgical outcome on self-focused attention, pain, and delayed recall. Psychological Medicine, 48(10), 1634–1643. https://doi.org/10.1017/S0033291717003117 4. Allen, P. A., Houston, J. R., Pollock, J. W., Buzzelli, C., Li, X., Harrington, A. K., Martin, B. A., Loth, F., Lien, M. C., Maleki, J., & Luciano, M. G. (2014). Task-specific and general cognitive effects in Chiari malformation type I. PLoS ONE, 9(4), e94844. https://doi.org/10.1371/journal.pone.0094844 5. Almotairi, F. S., Hellström, P., Skoglund, T., Nilsson, Å. L., & Tisell, M. (2020). Chiari I malformation—neuropsychological functions and quality of life. Acta Neurochirurgica, 162(7), 1575–1582. https://doi.org/10.1007/s00701-019-03897-2
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