کامیاب کریم پور

Craniopharyngioma is a group of primary sellar and suprasellar neoplasms that are usually observed in two separate age groups. It begins in childhood from 5 to 15 years old and in adulthood from 45 to 60 years old and can manifest with various neurological, visual and endocrine symptoms. The present study was conducted with the aim of determining the frequency of visual disturbances and headache in patients with craniopharyngioma tumor after surgery.

The present study is a cross-sectional descriptive study that was conducted in 1402. In this study, the files of all patients with craniopharyngioma tumor who were referred to teaching hospitals in Isfahan between 1392 and 1401 were examined. The sampling method was census and included 41 patients.

During the post-operative follow-up, after the surgery, one of the children had diplopia and three children had decreased visual acuity. In adults, one person had diplopia and 5 people had decreased visual acuity. Also, three people were identified with defects in the field of vision. Classical headache (early morning) was not observed in the patients and most of the headaches were in the evening. Tension headaches were observed in three children and four adults. In fact, surgery can significantly reduce headaches in these patients.

In the end, this study intends to emphasize the role of post-operative follow-up in reducing or ideally eliminating headache, vision disorders and tumor recurrence, leading to a better prognosis in patients.

Vestibular schwannoma tumor in advanced levels can cause a wide range of disorders, the aim of this study was to determine the frequency of balance disorders in patients with vestibular schwannoma tumor after surgery in Isfahan city.

The present study is a cross-sectional descriptive study that was conducted in 1402. In this study, the files of all patients with Vestibular schwannoma tumor who were referred to the teaching hospitals of Isfahan, including Kashani, Al-Zahra, Seyyed al-Shohada and Imam Hossein (AS) between 1392 and 1401, were examined. The sampling method was census and included 55 patients.

The average age of the patients was about 46 years and ranged from 10 to 78 years. 61.8% were men, 87.3% were married and only 1.8% had a family history of tumor. 15 patients (27.3%) had balance disorder after surgery, and muscle strength was lower in patients with balance disorder. Three of the patients had also died.

Based on the obtained results, following up the condition of patients, especially balance disorders, can be fruitful for improving the quality of life of patients.

Considering the importance and prevalence of ependymoma tumor, the aim of this study was to determine the frequency of sexual and urinary disorders in patients with ependymoma tumor before and after surgery in Isfahan city, Iran.

The present study is a cross-sectional descriptive study that was conducted in 1402. In this study, the files of all patients with ependymoma tumor undergoing surgery who had referred to the teaching hospitals of Isfahan, Iran in a period of 9 years were examined. The sampling method was census and included 42 patients. Data was analyzed by SPSS software.

45.2% of the patients were male and the mean age was 43±16.46 years. 75.9% of patients had spinal ependymoma tumor. Sexual disorders after surgery decreased from 37 people (88.1%) to 28 people (77.8%), and urinary disorders after surgery decreased from 24 people (57.1%) to 15 people (41.7%). However, there was no significant difference in sexual and urinary disorders in patients before and after surgery (P>0.05).

According to the obtained results, rehabilitation and psychological measures and strategies should be used to reduce urinary and sexual disorders in patients with ependymoma tumor.

Any type of tumor is considered as an insidious risk to life, and its early diagnosis can be effective in the treatment and recovery process. Several factors challenge the early diagnosis of brain tumors. Since psychiatric symptoms do not reflect the pathogenomic characteristics of brain tumors, the underlying organic cause may be overlooked. The present study was conducted with the aim of determining mood and sleep disorders in patients with central nervous system hemangioblastoma after surgery.

This descriptive-cross-sectional study included 32 patients with hemangioblastoma who underwent surgical treatment between 2016 and 2016. Patient information was collected by checklists and standard questionnaires. Karnofsky's and ECOG functional status scales, Brunel's mood scale and short sleep questionnaire MSQ were used to evaluate the performance status.

The age of the patients was 44.28±15.15 years and 18 (56.3%) were male. The follow-up time of the patients was 6.71±3.57 years. Also, the average tumor size was 35.4±12.98 mm. 9 patients (28.1%) underwent radiotherapy in addition to surgery and 5 patients (15.6%) underwent chemotherapy. Functional status of Karnofsky and ECOG was optimal. Sleep disorders indicate moderate sleep and wakefulness problems, and all dimensions of mood disorders (tension, depression, anger, fatigue, vitality, and confusion) were more than average.

In the present study, as in other studies, depression and tension were important mood factors in brain tumor patients. In addition, they had a significant impact on the patients' functional status. In this regard, it is suggested to conduct more detailed and comprehensive studies on the psychological disorders of patients with any type of brain tumor and to consider psychological treatments as part of the treatment process for these patients.