medigraphic.com
ISSN 0138-7103 (Print)

2022, Number 2

<< Back Next >>

Revista del Hospital Psiquiátrico de La Habana 2022; 19 (2)

Intervention on executive functions during neuropsychological rehabilitation in pediatric oncology

Muñoz RLN

Language: Spanish
References: 16
Page:
PDF size: 209.68 Kb.


ABSTRACT

Introduction: Antineoplastic treatments generate different sequelae in the pediatric oncology patient, the factors that influence the appearance of cognitive sequelae are associated with the patient's age, the type of neoplasia, characteristics of the treatment implemented and doses used, among other factors. Cognitive sequelae may not be evident at the end of treatment and are silent consequences that sometimes become visible when the patient enters the educational establishment, due to the demand for school activities that require the implementation of cognitive resources. Thus, cognitive sequelae in pediatric oncology constitute a risk factor for the acquisition of learning and the inclusion of patients when they return to school.
Objective: To describe the process of intervention in executive functions in a patient diagnosed with a central nervous system tumor, as well as the multidisciplinary approach to cognitive sequelae.
Case presentation: Male patient enters the Oncology Rehabilitation Center of the Our Children's Foundation (CROFNH) in August 2016, at the age of 5 years, 7 months, with a diagnosis of Central Nervous System Tumor (Tu SNC) in the third ventricle. She starts rehabilitation with multidisciplinary team that included: physiatrist physician, kinesiology, occupational therapy, differential education, phonoaudiology and neuropsychology.
Conclusions: The long-term manifestation of cognitive functions highlights the importance of monitoring the cognitive profile at each new stage of neurodevelopment and detecting intervention needs in order to provide patients with the best conditions for them to have an optimal quality of life.


REFERENCES

  1. Cuadrado C, Prieto C, Gonzalez I, Gupta S, Denburg A, Zubieta M, et al. Cáncerinfantil en Latinoamérica: un análisis comparativo de la respuesta de los sistemasde salud. Perfiles de países. Organización Mundial de la Salud / Escuela de SaludPública Dr. Salvador Allende, Universidad de Chile; 2017.

  2. Hutchinson AD, Pfeiffer SM, Wilson C. Cancer-related cognitive impairment inchildren: Curr Opin Support Palliat Care. marzo de 2017;11(1):70-5.

  3. Lumniczky K, Szatmári T, Sáfrány G. Ionizing Radiation-Induced Immune andInflammatory Reactions in the Brain. Front Immunol. 2017 [acceso: 24/9/2020]; 8.Disponible en:https://www.frontiersin.org/articles/10.3389/fimmu.2017.00517/full

  4. Cheung YT, Sabin ND, Reddick WE, Bhojwani D, Liu W, Brinkman TM, et al.Leukoencephalopathy and long-term neurobehavioural, neurocognitive, and brainimaging outcomes in survivors of childhood acute lymphoblastic leukaemia treatedwith chemotherapy: a longitudinal analysis. Lancet Haematol. 2016;3(10):e456-66.

  5. Huang I-C, Brinkman TM, Cheung YT, Pui C-H, Hudson MM, Krull KR. Functionalconsequence of cognitive impairment in survivors of childhood acute lymphoblasticleukemia (ALL): The role of cancer symptoms as mediators. J Clin Oncol. 20 deenero de 2016;34(3_suppl):235.

  6. Barahona T, Grau C, Cañete A, Sapiña A, Castel V, Bernabeu J. Rehabilitaciónneuropsicológica en niños con tumores del sistema nervioso central y lecucemiasirradiadas. Psicooncología. 2012;9(1):81-94.

  7. Hardy KK, Willard VW, Gioia A, Sharkey C, Walsh KS. Attention-mediatedneurocognitive profiles in survivors of pediatric brain tumors: comparison tochildren with neurodevelopmental ADHD. Neuro-Oncol. 2018;20(5):705-15.

  8. Castellino SM, Ullrich NJ, Whelen MJ, Lange BJ. Developing Interventions forCancer-Related Cognitive Dysfunction in Childhood Cancer Survivors. JNCI J NatlCancer Inst. 2014;106(8):dju186-dju186.

  9. Korzeniowski C, Cupani M, Ison M, Difabio H. Rendimiento escolar y condiciones depobreza: el rol mediador de las funciones ejecutivas. Electron J Res Educ Psychol.2017;14(40):474-94.

  10. Flores JC, Castillo-Preciado RE, Jiménez-Miramonte NA. Desarrollo de funcionesejecutivas, de la niñez a la juventud. An Psicol. 2014;30(2):463-73.

  11. Friedman NP, Miyake A. Unity and diversity of executive functions: Individualdifferences as a window on cognitive structure. Cortex. 2017;86:186-204.

  12. Dawson P, Guare R. Executive skills in children and adolescents: a practical guideto assessment and intervention. 2nd ed. New York: Guilford Press; 2010.

  13. Catroppa C, Anderson V, Muscara F. Rehabilitation of executive skills postchildhoodtraumatic brain injury (TBI): A pilot intervention study. DevNeurorehabilitation. 2009;12(5):361-9.

  14. McCloskey G, Perkins LA, Van Divner B. Assessment and intervention for executivefunction difficulties. 1st ed. New York, NY: Routledge; 2009.

  15. Shaw DR. Pediatric cognitive rehabilitation: Effective treatments in a school-basedenvironment. Parente R, editor. NeuroRehabilitation. 2014;34(1):23-8.

  16. Diamond A. Activities and Programs That Improve Children’s Executive Functions.Curr Dir Psychol Sci. 2012;21(5):335-41.




2020     |     www.medigraphic.com