Neuropsychological sequelae of non-central nervous system cancer and cancer therapy

Jeffrey S. Wefel, Mariana E. Witgert, Christina A. Meyers

Research output: Contribution to journalReview articlepeer-review

103 Scopus citations

Abstract

Cancer patients report numerous adverse symptoms associated with their disease and treatment including cognitive dysfunction, fatigue, and affective distress. Cognitive dysfunction is ubiquitous in patients with primary central nervous system (CNS) cancer and recent evidence has documented similar deficits in patients with non-CNS cancer as well. Both the cancer itself and treatments including chemotherapy, biological response modifiers, and hormonal therapies have been demonstrated to adversely impact cognitive and neurobehavioral function. Neuroimaging and neurophysiological investigations have likewise revealed alterations in brain function that are helping to account for the nature of these cognitive disorders. Similarly, preclinical animal research is assisting to identify the pathophysiological mechanisms that underlie treatment-related neurotoxicities. The coalescence of multidisciplinary clinical and research efforts hold promise for the development of interventions that may offer neuroprotection in addition to currently available symptomatic therapies and cognitive rehabilitation techniques.

Original languageEnglish (US)
Pages (from-to)121-131
Number of pages11
JournalNeuropsychology Review
Volume18
Issue number2
DOIs
StatePublished - Jun 2008

Keywords

  • Cancer
  • Chemotherapy
  • Cognitive function
  • Cognitive impairment
  • Quality of life

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology

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