Assessment and Management of Cognitive Symptoms in Patients With Brain Tumors

Cognitive symptoms occur in almost all patients with brain tumors at varying points the disease course. Deficits neurocognitive function may be caused by tumor itself, treatment (surgery, radiation, or chemotherapy), other complicating factors (e.g., seizures, fatigue, mood disturbance) and can have a profound effect on functional independence quality of life. Assessment is an important part comprehensive care tumors. In neuro-oncology clinic, assessment include cognitive screening tools inquiry into subjective function. Neuropsychological adjunct to identify used as opportunity intervene through transformative feedback planning. Preventative measures taken reduce side effects treatment, such awake craniotomies intraoperative mapping during neurosurgery prophylactic radiation therapy hippocampal avoidance, neuroprotectant memantine). Rehabilitative therapies, including rehabilitation computerized exercise, are options for managing problems individualized manner. Pharmacotherapy, use stimulant medications acetylcholinesterase inhibitors, has shown benefits when tailored individual’s profile. Identification management co-occurring issues, sleep disturbance, depression, also improve There promising therapies under development that provide new future. Integrating careful cognition throughout course outcomes