Mental fatigue and cognitive functioning in patients presenting with non-enhancing gliomas

Acta Neurochirurgica (2025) 167:63

The study investigates the relationship between mental fatigue and cognitive functioning in patients with lower-grade gliomas (LGG) before surgery. It found a consistent correlation between self-reported mental fatigue and cognitive functioning but no correlation between self-reports and neuropsychological test results, highlighting the complexity of evaluating these symptoms.

Study Purpose: Investigate mental fatigue and cognitive functioning in LGG patients pre-surgery.

Patient Cohort: 101 patients with presumed LGG; 71 with confirmed IDH-mutated LGG.

Methods: Self-reports, neuropsychological tests, and clinical/demographic data collected.

Key Findings: No strong correlation between self-reports and neuropsychological tests.

Correlation: A strong link was found between self-reported mental fatigue and cognitive functioning.

Tumor Localization: Frontal tumors had more oligodendrogliomas; non-frontal had more glioblastomas.

Neuropsychological Impairment: Higher RAVLT, FAS, and CWT test impairment rates.

Statistical Analysis: Spearman’s partial correlations assess variable relationships.

Clinical Implications: Need for a multi-perspective approach in evaluating LGG patient symptoms.

Research Recommendations: Larger cohort studies and quantitative tumor localization metrics are suggested.