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Several studies showed that radiotherapy as brain tumors treatment may affect cognition. It was observed that durable memory impairments could arise at irradiated patients if radiotherapy is applied on medial temporal lobes.
However, results concerned studies of anterograde memory and none, this day, estimates the impact of radiotherapy on autobiographical memory which also involves hippocampus.
The aim of this study is to evaluate effects of cavernous sinus or sellar region irradiation on autobiographical memory.
Thirty 35 to 65 years old patients, with cavernous sinus meningioma or pituitary adenoma for who radiotherapy is indicated will be recruited.
Several studies showed that radiotherapy as brain tumors treatment may affect cognition. It was observed that durable memory impairments could arise at irradiated patients if radiotherapy is applied on medial temporal lobes. However, results concerned studies of anterograde memory and none, this day, estimates the impact of radiotherapy on autobiographical memory which also involves hippocampus, as specified in Nadel and Moscovitch model, the Multiple Trace Theory.
Autobiographical memory impairment issue is fundamental for identity construction. Prevent those impairments is important to quality of life improvement after such treatments.
The aim of this study is to evaluate effects of cavernous sinus or sellar region irradiation on autobiographical memory.
A pilot study was conducted with 10 patients affected by left cavernous sinus meningioma divided in two groups: the first one with untreated patients and the second one with patients who received cavernous sinus irradiation between 2 and 5 years before pilot study. This study indicated autobiographical memory deterioration in two groups and a worsening in treated group. Study limits did not allow us to draw conclusions. That is why, sample size will be extended and patients with cavernous sinus meningioma or pituitary adenoma will be recruited because of proximity between cavernous sinus, pituitary gland and hippocampus. Investigators wish to recruit 30 patients with cavernous sinus and meningioma.
Investigators hope for confirm our results from pilot study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with brain tumors treated by radiotherapy | Experimental | Patients with: - meningioma of the cavernous sinus for which radiotherapy is planned Or - a pituitary adenoma for which radiotherapy is planned |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evaluation of autobiographical memory | Other | Patients will answer several questionnaires one and two years after irradiation treatment end. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Autobiographical memory test (TEMPau) score | Two years after irradiation treatment end |
| Measure | Description | Time Frame |
|---|---|---|
| Autobiographical memory test (TEMPau) score | One year after irradiation treatment end | |
| Revised Self Consciousness Scale (RSCS) score | One and two years after irradiation treatment end | |
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Inclusion Criteria:
Age between 35 and 65.
Patient with:
French Mother tongue
Person affiliated to national insurance
Person who give its verbal agreement to participate
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Olivier BRANCHARD | University Hospital, Bordeaux | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Bordeaux | Bordeaux | 33076 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9142752 | Background | Nadel L, Moscovitch M. Memory consolidation, retrograde amnesia and the hippocampal complex. Curr Opin Neurobiol. 1997 Apr;7(2):217-27. doi: 10.1016/s0959-4388(97)80010-4. | |
| 17382578 | Background | Cabeza R, St Jacques P. Functional neuroimaging of autobiographical memory. Trends Cogn Sci. 2007 May;11(5):219-27. doi: 10.1016/j.tics.2007.02.005. Epub 2007 Mar 26. |
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Patient could request investigator an access to IPD according to French regulation (act No. 78-17 of 6 January 1978 on data processing, data files and individual liberties, amended by act No. 2004-801 of 6 August 2004).
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| ID | Term |
|---|---|
| D010911 | Pituitary Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D007029 | Hypothalamic Neoplasms |
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| Quality of life questionnaire (QLQC-30/BN20) score |
| One and two years after irradiation treatment end |
| California Verbal Learning Test (CVLT) score | One and two years after irradiation treatment end |
| 12874001 | Background | Mizumatsu S, Monje ML, Morhardt DR, Rola R, Palmer TD, Fike JR. Extreme sensitivity of adult neurogenesis to low doses of X-irradiation. Cancer Res. 2003 Jul 15;63(14):4021-7. |
| 38918132 | Result | Sans C, Dupin C, Huchet A, Branchard O, Nunes ML, Vendrely V, Loiseau H, Planchon C. [Prospective longitudinal study on the evolution of autobiographical memory in patients irradiated for benign skull base tumour]. Cancer Radiother. 2024 Aug;28(4):309-316. doi: 10.1016/j.canrad.2023.11.003. Epub 2024 Jun 24. French. |
| D015173 |
| Supratentorial Neoplasms |
| D001932 | Brain Neoplasms |
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D007027 | Hypothalamic Diseases |
| D010900 | Pituitary Diseases |
| D004700 | Endocrine System Diseases |