PMID- 28823099 OWN - NLM STAT- MEDLINE DCOM- 20180625 LR - 20181113 IS - 1573-7403 (Electronic) IS - 1386-341X (Linking) VI - 20 IP - 6 DP - 2017 Dec TI - Evidence of dysexecutive syndrome in patients with acromegaly. PG - 661-667 LID - 10.1007/s11102-017-0831-9 [doi] AB - PURPOSE: This study aimed to explore different aspects of executive function in patients with acromegaly and investigate the cause of dysexecutive syndrome in these patients. METHODS: We conducted five typical executive function tests (Stroop test, verbal fluency [VF] test, Hayling Sentence Completion Test [HSCT], N-back test, and Sustained Attention to Response Task [SART]) on 42 acromegalic patients and 42 strictly matched healthy controls. Comparative analyses were conducted for five major executive function domains. The Dysexecutive Questionnaire (DEX) was used to assess patients' subjective feelings about their executive function. All patients underwent a magnetic resonance imaging (MRI) examination and a blood test to determine their pituitary hormone levels before the tests were performed. RESULTS: The patients exhibited worse results on the Stroop test, VF test, HSCT and N-back test compared to the healthy control group. Moreover, part B of the HSCT and the N-back test performance were negatively correlated with IGF-1 concentrations, and the duration of the disease was significantly associated with the Stroop color task results. CONCLUSIONS: Acromegalic patients were severely impaired in semantic inhibition, executive processing, working memory and executive inhibition, and they have realized a portion of these deficits. A high level of IGF-1, disease duration may contribute to the impairment of specific aspects of executive function. FAU - Shan, Shaobo AU - Shan S AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing, 100050, China. AD - China National Clinical Research Center for Neurological Diseases, Beijing, China. AD - Center for Stroke, Beijing Institute for Brain Disorders, Beijing, China. AD - Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China. FAU - Fang, Lingling AU - Fang L AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing, 100050, China. AD - China National Clinical Research Center for Neurological Diseases, Beijing, China. AD - Center for Stroke, Beijing Institute for Brain Disorders, Beijing, China. AD - Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China. FAU - Huang, Jia AU - Huang J AD - Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. AD - Department of Psychology, University of Chinese Academy of Sciences, Beijing, China. FAU - Chan, Raymond C K AU - Chan RCK AD - Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. AD - Department of Psychology, University of Chinese Academy of Sciences, Beijing, China. FAU - Jia, Guijun AU - Jia G AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing, 100050, China. AD - China National Clinical Research Center for Neurological Diseases, Beijing, China. AD - Center for Stroke, Beijing Institute for Brain Disorders, Beijing, China. AD - Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China. FAU - Wan, Weiqing AU - Wan W AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing, 100050, China. weiqingwan111@163.com. AD - China National Clinical Research Center for Neurological Diseases, Beijing, China. weiqingwan111@163.com. AD - Center for Stroke, Beijing Institute for Brain Disorders, Beijing, China. weiqingwan111@163.com. AD - Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China. weiqingwan111@163.com. LA - eng PT - Journal Article PL - United States TA - Pituitary JT - Pituitary JID - 9814578 RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Acromegaly/*complications/metabolism/*physiopathology MH - Adult MH - Cognition Disorders/etiology/metabolism/physiopathology MH - Executive Function/*physiology MH - Female MH - Humans MH - Insulin-Like Growth Factor I/metabolism MH - Male MH - Middle Aged MH - Neuropsychological Tests OTO - NOTNLM OT - Acromegaly OT - Disease duration OT - Dysexecutive function OT - IGF-1 EDAT- 2017/08/22 06:00 MHDA- 2018/06/26 06:00 CRDT- 2017/08/21 06:00 PHST- 2017/08/22 06:00 [pubmed] PHST- 2018/06/26 06:00 [medline] PHST- 2017/08/21 06:00 [entrez] AID - 10.1007/s11102-017-0831-9 [pii] AID - 10.1007/s11102-017-0831-9 [doi] PST - ppublish SO - Pituitary. 2017 Dec;20(6):661-667. doi: 10.1007/s11102-017-0831-9.