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Cognitive outcomes following functional neurosurgery in refractory OCD patients: a systematic review

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dc.contributor.authorLaseca Zaballa, Garazi
dc.contributor.authorLubrini, Genny
dc.contributor.authorPeriañez, Jose A.
dc.contributor.authorMartinez, Simón
dc.contributor.authorMartín Bejarano, M.
dc.contributor.authorTorres Díaz, C.
dc.contributor.authorMartínez Moreno, N.
dc.contributor.authorÁlvarez Linera, Juan
dc.contributor.authorMartínez Álvarez, R.
dc.contributor.authorRíos Lago, Marcos
dc.contributor.orcidhttps://orcid.org/0000-0001-8526-6198
dc.contributor.orcidhttps://orcid.org/0000-0003-4310-4021
dc.date.accessioned2024-11-27T08:52:22Z
dc.date.available2024-11-27T08:52:22Z
dc.date.issued2023
dc.descriptionThe registered version of this article, first published in “Neurosurgical Review 46", is available online at the publisher's website: Springer, https://doi.org/10.1007/s10143-023-02037-w La versión registrada de este artículo, publicado por primera vez en “Neurosurgical Review 46", está disponible en línea en el sitio web del editor: Springer, https://doi.org/10.1007/s10143-023-02037-w
dc.description.abstractNeurosurgery is a therapeutic option for patients with refractory obsessive–compulsive disorder who do not respond to previous treatments. Although its efficacy in reducing clinical symptomatology has been proven, few studies have analyzed its effects at the cognitive level. The aim of this systematic review was to describe the cognitive outcomes of functional neurosurgery in patients that went through capsulotomies or cingulotomies. PubMed, Medline, Scopus, PsycInfo, PsyArticles, and Web of Knowledge were searched for studies reporting cognitive outcomes in refractory obsessive–compulsive patients after capsulotomies and cingulotomies. The risk of bias was assessed with the Assessment Tool for Before-After (Pre-Post) Studies With No Control Group tool; 13 studies met inclusion criteria, including 205 refractory obsessive–compulsive disorder patients for both surgical procedures. Results showed a substantial number of studies that did report significant cognitive improvement after surgery, being this improvement specially related to memory and executive functions. The second-most frequent finding is the maintenance of cognitive performance (nor improvement or worsening). From a neuropsychological point of view, this outcome might be considered a success, given that it is accompanied by amelioration of obsessive–compulsive symptoms. Subtle cognitive adverse effects have also been reported. Neurosurgery procedures appear to be safe from a cognitive point of view. Methodological issues must be improved to draw clearer conclusions, but capsulotomies and cingulotomies constitute an effective alternative treatment for refractory obsessive–compulsive disorder patients.en
dc.description.versionversión final
dc.identifier.citationLaseca-Zaballa, G., Lubrini, G., Periañez, J.A. et al. Cognitive outcomes following functional neurosurgery in refractory OCD patients: a systematic review. Neurosurg Rev 46, 145 (2023). https://doi.org/10.1007/s10143-023-02037-w
dc.identifier.doihttps://doi.org/10.1007/s10143-023-02037-w
dc.identifier.issn0344-5607 | eISSN 1437-2320
dc.identifier.urihttps://hdl.handle.net/20.500.14468/24543
dc.journal.issue1
dc.journal.titleNeurosurgical Review
dc.journal.volume46
dc.language.isoen
dc.page.initial145
dc.publisherSpringer
dc.relation.centerFacultad de Psicología
dc.relation.departmentPsicología Básica II
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject61 Psicología
dc.subject.keywordsCapsulotomyen
dc.subject.keywordsCingulotomyen
dc.subject.keywordsCognitionen
dc.subject.keywordsNeuropsychologyen
dc.subject.keywordsNeurosurgeryen
dc.subject.keywordsObsessive–compulsive disorderen
dc.titleCognitive outcomes following functional neurosurgery in refractory OCD patients: a systematic reviewen
dc.typeartículoes
dc.typejournal articleen
dspace.entity.typePublication
relation.isAuthorOfPublicationaf57252a-e8fc-470d-b074-180e993a33c4
relation.isAuthorOfPublication.latestForDiscoveryaf57252a-e8fc-470d-b074-180e993a33c4
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