Evidence map›Paper›PMID 41006692›Full record

ArticlePituitary2025

Neurocognitive evaluation of patients with non-functioning pituitary adenoma.

Asli Altinbezer, Tugba Barlas, Muhammed Hakan Aksu, Ethem Turgay Cerit, Mehmet Muhittin Yalcin, Mujde Akturk, Fusun Toruner, Ayhan Karakoc, Alev Eroglu Altinova

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Article in Pituitary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Asli AltinbezerDepartment of Internal Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey. aslialtinbezer@gmail.com.
Tugba BarlasDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Muhammed Hakan AksuDepartment of Psychiatry, Faculty of Medicine, Gazi University, Ankara, Turkey.
Ethem Turgay CeritDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Mehmet Muhittin YalcinDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Mujde AkturkDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Fusun TorunerDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Ayhan KarakocDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.
Alev Eroglu AltinovaDepartment Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to evaluate the neurocognitive functions of patients with non-functioning pituitary adenoma (NFPA).

methodsEighty patients with NFPA and 80 control subjects matched for age, sex, body mass index (BMI) and educational status were included. The Beck Depression Inventory (BDI) for depression, the Cognitive Failures Questionnaire (CFQ), the Prospective and Retrospective Memory Questionnaire (PRMQ) and the Memory Functioning Questionnaire (MFQ) for assessing cognitive functions were administered.

resultsNFPA patients had significantly higher CFQ and PRMQ scores than controls (p < 0.05), reflecting greater cognitive failure and memory impairment. MFQ subscales revealed increased general forgetfulness, severity of forgetting, and impaired retrospective function in NFPA patients (p < 0.05). Name recall was worse among those who underwent surgery or received radiotherapy/gamma-knife treatment. Social dysfunction was more common in patients with secondary adrenal insufficiency (p = 0.038), higher corticosteroid doses (p < 0.05), and greater concentration problems (p = 0.036). Hypogonadism was associated with impaired name recall (p = 0.040) and social failure (p = 0.024). Name recall declined as postoperative time increased (p = 0.029). Low IGF-1 levels were linked to worse prospective memory, more frequent forgetfulness, and greater social dysfunction (p = 0.042).

conclusionOur findings suggest that the cognitive impairments observed in patients with NFPA may result not only from pituitary dysfunction but also from treatment approaches such as reoperations, gamma-knife or radiotherapy. These results highlight the importance of comprehensive neurocognitive assessment and long-term follow-up in the management of NFPA patients, particularly those with hormonal deficiencies or who undergo repeated interventions.

Indexed as

AdenomaPituitary NeoplasmsAdultAgedCognitionCognitive DysfunctionFemaleHumansMaleMiddle AgedNeuropsychological TestsCognitive impairmentMemory dysfunctionNeurocognitive evaluationPituitary adenoma

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.