Rapid recovery of motor and cognitive functions after resection of a right frontal lobe meningioma in a child

Childs Nerv Syst. 2010 Jan;26(1):105-11. doi: 10.1007/s00381-009-0984-6. Epub 2009 Aug 29.

Abstract

Purpose: The purpose of this study is to provide longitudinal data on neurological and neuropsychological restitution following resection of an extra-axial space-occupying lesion.

Case report: A comprehensive neuropsychological test battery was utilised preoperatively and 1, 4, 11, and 24 months, respectively, after removal of a parasagittal meningioma compressing the right frontal lobe in a right-handed 6-year-old boy with average intelligence.

Results: Symptoms related to brain compression (left-sided hemiparesis, diplopia) resolved shortly after surgery. Recovery of specific cognitive functions (short- and long-term memory, attention, and dichotic listening performance) was more protracted.

Conclusion: Here, we illustrate the potential of a structured follow-up analysis, based on neuropsychological testing. We were able to distinguish separate time-courses for neurological functions but even more distinct within complex neuropsychological processes. This time-dependent recovery should be considered when designing longitudinal follow-up studies.

Publication types

  • Case Reports

MeSH terms

  • Brain Neoplasms / complications
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery*
  • Child
  • Cognition Disorders / etiology
  • Cognition Disorders / pathology
  • Cognition Disorders / surgery*
  • Diplopia / etiology
  • Diplopia / pathology
  • Diplopia / surgery
  • Follow-Up Studies
  • Frontal Lobe / pathology
  • Frontal Lobe / surgery*
  • Functional Laterality
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Meningioma / complications
  • Meningioma / pathology
  • Meningioma / surgery*
  • Neuropsychological Tests
  • Paresis / etiology
  • Paresis / pathology
  • Paresis / surgery*
  • Recovery of Function*
  • Time Factors