gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

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Cognitive and behavioural deficits due to acquired lesions of the cerebellum

Verhaltensauffälligkeiten und kognitive Defizite nach erworbenen Kleinhirnläsionen

Meeting Abstract

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  • corresponding author V. Völzke - Universität Witten-Herdecke, Klinik Holthausen Hattingen, Klinik für Neurochirurgische Rehabilitation
  • V. Voelzke - Klinik Holthausen Hattingen/Ruhr
  • M. Breukel - Klinik Holthausen Hattingen/Ruhr
  • F. Nottelmann - Klinik Holthausen Hattingen/Ruhr
  • W. Mandrella - Klinik Holthausen Hattingen/Ruhr
  • L. Wischnjak - Klinik Holthausen Hattingen/Ruhr
  • D. Osenberg - Klinik Holthausen Hattingen/Ruhr
  • W. Ischebeck - Klinik Holthausen Hattingen/Ruhr

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc11.05.-16.13

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0268.shtml

Published: May 4, 2005

© 2005 Völzke et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective

Clinical data suggest that patients with cerebellum lesions show motor deficits (e.g. ataxia). During recent years, some evidence about cognitive deficits after cerebellum injury has been published. The recent study adds to this evidence base.

Methods

39 selected patients (19 male, 20 female; mean age: 57yrs) with lesions of the cerebellum related to insult, SAH of the PICA, or other aetiology completed a neuropsychological assessment battery (memory, attention, visual perception, executive processes).

Results

Severe and moderate forms of attention deficits related to lesions of the cerebellum were assessed. In addition, dysexecutive symptoms, behavioural deviations (e.g. inadequate social behaviour) and awareness (anosognosia) deficits were diagnosed.

Conclusions

In addition to traditional therapeutic approaches, it is essential to involve specific neuropsychological aspects in diagnosis and therapy. Because of the central role of executive function in ever day life, a planned individualised/multidisciplinary rehabilitation process is necessary. All patients with such deficits require high frequent and long-term multidisciplinary individual and group therapy that encompasses physical therapy, music therapy, occupational therapy, neuropsychology and speech therapy.