Comparison of neuropsychological side effects between contemporary radiofrequency ablative neurosurgery for psychiatric disorders and conventional neurosurgical procedures: systematic review and meta-analysis.
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Vilela-Filho Osvaldo, Bannach Matheus A, Lino-Filho Adriano M, Hamani Clement, Nuttin Bart, Hariz Marwan, Schulder Michael, Greenberg Benjamin David, Cosgrove Rees, De Oliveira-Souza Ricardo, Horn Andreas, Sheth Sameer A, Kubu Cynthia, Salem Sherif, Zaccariotti Alice J, Tavares Naraiana O, Damasceno Benito Pereira, Mayberg Helen S, Lozano Andres M, Visser-Vandewalle Veerle, Kuhn Jens, Falkai Peter, Slavin Konstantin, Doshi Paresh, Lopes Antonio C, Vattimo Edoardo Fq, Coyne Terry, Akram Harith, Toda Hiroki, Halpern Casey H, Coenen Volker Arndt, Gorgulho Alessandra Augusta, Andrade Pablo, Blomstedt Patric, Wu Hemmings, Zrinzo Ludvic, Sun Bomin, De Quevedo Joao L, Belmonte-De-Abreu Paulo, Cosyns Paul, Mclaughlin Nicole, Alkhani Ahmed, Giordano James, Berk Michael, Yatham Lakshmi N, Chabardes Stephan, Abbadi Najia E, De Salles Antonio Afonso Ferreira, Enslin Nico, De Sousa Marcelo B, Oliveira José Oswaldo, Labruna Rodrigo, Reis Alexandre Macdonald, Jiménez-Ponce Fiacro, Ferragut Maria A, Chang Jin Woo, Régis Jean, Torres Cristina V, Taira Takaomi, Lipsman Nir, Barcia Juan A, Rezai Ali, Schuurman Rick, Martinez-Alvarez Roberto, Dougherty Darin D, Broggi Giovanni, Huys Daniel, Bervoets Chris, Oliveira Paulo M, Ragazzo Paulo Cesar, Giacobbe Peter, Lazaro-Munoz Gabriel, Polosan Mircea, Naesström Matilda, Johansson Viktoria, Schlaepfer Thomas, Ribeiro Telma Mc, Lee Kendall H, Neimat Joseph S, Hodaie Mojgan, Sitnikov Andrey, Yilmaz Atilla, Almahariq Fadi, Lopez Rios Adriana L, Gonçalves-Ferreira António
Аннотация
OBJECTIVE: To address this issue, we conducted a systematic review with meta-analysis to compare NPSE associated with radiofrequency ablative NPD to those observed in neuro-oncological, neurovascular and epilepsy surgeries.
METHODS: PubMed, Embase and LILACS databases were searched in April 2024 for articles published in English/Spanish from 1990 to 2022, following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.
RESULTS: A total of 48 articles with 2678 participants were included. The frequency of transient and permanent NPSE in the NPD group ranged from 0.94% to 11.50% and 0.94% to 2.03%, respectively, comparable to the other surgical groups (epilepsy: 0.31-11.70%; vascular: 0.52-22.90%; oncology: 0.94-17.60% for transient NPSE; epilepsy: 0.31-12%; vascular: 0.40-1.96% and oncology: 0.84-1.48% for permanent NPSE). Regarding permanent NPSE, arguably the most critical consideration, the NPD group showed better outcomes in memory, language and social cognition than the epilepsy group, but worse outcomes in executive and perceptual-motor functions. Compared with the vascular group, the NPD group had better executive function but worse complex attention. Finally, the NPD group had fewer permanent deficits than the oncology group in executive function, complex attention and perceptual-motor domains, although language performance was lower.
CONCLUSIONS: Contemporary NPD apparently carries a similar risk of NPSE as other conventional neurosurgical procedures, challenging misconceptions and this unjustified barrier to its broader use.