Zaburzenia funkcji poznawczych po usuni ciu oponiaka rynienki w chowej – opis przypadku

Aim: The aim of the study is to describe and to comparethe types of cognitive impairments in the examinationof a patient before and after surgical treatment ofanterior cranial base meningioma. The authors introducethe little-known tool of cognitive assessment namedMontreal Cognitive Assessment (MoCA).Method: In the neuropsychological examination of thepatient several methods were used: The Bender VisualMotor Gestalt Test, Benton Visual Retention Test,Auditory Verbal Learning Test by uria, Verbal FluencyTest, Trail Making Test A & B, Rey Complex FigureTest, and Montreal Cognitive Assessment (MoCA).Results: In the two-time neuropsychological examinationan improvement in cognitive functions was observed.The patient correctly performed the tasks whichestimated effectiveness of orientation in place and intime, effectiveness of visual-motor coordination, andlanguage abilities (naming, repeating sentences), andpart of the tasks which referred to the attention processes(subtraction in series, correct reaction to the letter “A”).The patient had difficulties in indicating the time “tenminutes after eleven” (planning, working memory,visual-motor coordination), and remaining tasks – wordsand numbers (short-term memory, working memory,focusing the attention), verbal fluency and abstractthinking.Conclusions: 1. Surgical treatment of anterior cranialbase meningioma was connected with cognitive,emotional, social and occupational improvement.2. Montreal Cognitive Assessment is a useful tool toevaluate the cognitive functions among patients withfrontal lobe lesions.