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Old 10-08-2006, 01:44 PM   #1
Lani
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Join Date: Mar 2006
Posts: 4,778
more on chemo brain--yes, the brain does have to work harder !

hemo makes brain 'work' harder

Patients treated with chemotherapy can suffer from memory problems
Chemotherapy produces long-term changes in the part of the brain dealing with memory, US research suggests.
Scans of women treated for breast cancer five to 10 years earlier suggested the brain was having to work harder during memory tests.

Researchers said the findings may explain why some cancer survivors suffer from problems with memory, confusion, and concentration.

The study of 21 women is published in Breast Cancer Research and Treatment.

But a Cancer Research UK research fellow said psychologists had looked at British women having the most common breast cancer treatments and found few had experienced memory or attention problems.

Researchers from the University of California, Los Angeles (UCLA), used a technique called positron emission tomography to take images of key regions of the brain while participants performed memory-related tasks.


These women's brains were working harder than the control subjects' to recall the same information
Dr Daniel Silverman

They compared the results from 16 women who had received chemotherapy with five women who had been treated with surgery alone.

Images taken during a short-term recall test showed a significant increase in blood flow in a region called the frontal cortex in women who had been treated with chemotherapy, indicating a rapid jump in activity.

The women who had undergone chemotherapy also had lower levels of another measure of brain activity that looked at how the brain uses sugar to make energy, called brain metabolism.

Recall

Study leader Dr Daniel Silverman, who is associate professor of molecular and medical pharmacology at UCLA, said: "In effect, these women's brains were working harder than the control subjects' to recall the same information.

"We also found that the lower the patient's resting brain metabolism was, the more difficulty she had performing the memory test."


Women in the UK should not panic as the benefits of current breast cancer treatment are likely to far outweigh any small impairments in attention
Dr Valerie Jenkins

He said experts estimated at least a quarter of patients treated with chemotherapy were affected by symptoms of confusion, had difficulty in focusing and could not multi-task as they used to.

The study also looked at drug-specific effects in patients who had received tamoxifen. There was a significant drop in metabolism in a part of the brain that links thoughts and actions.

"Our study demonstrates for the first time that patients suffering from these cognitive symptoms have specific alterations in brain metabolism," he added.

Dr Valerie Jenkins, senior research fellow at Cancer Research UK's Psychosocial Oncology Group at Brighton and Sussex Medical School, said: "There are many reasons why brain activity found on PET scanning might differ, apart from the effects of cancer treatments.

"The type of problems women say they experience are poor attention and concentration but other things also affect cognition including age, level of intelligence, menopausal status, and mood state, particularly anxiety.

"Cancer Research UK psychologists have looked at women who were having the most common form of breast cancer treatments in the UK and found few women experienced any problems with their memory or attention.

"Women in the UK should not panic as the benefits of current breast cancer treatment are likely to far outweigh any small impairments in attention."
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Old 10-08-2006, 09:17 PM   #2
EllaD
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Join Date: Sep 2006
Posts: 12
Thank you for the info, Lani. I know I have to concentrate so much harder since I was on chemo and these months I've been on Herceptin. It's frustrating when you can't remember the simplest of things or forget what you needed to get downstairs, etc. etc. I am finding little ways to remind myself of things. Like if I want to bring something to work for lunch, I'll put an empty bag with my purse and keys. Sounds silly but it makes me think, what was this for.. Thanks again. It is always good to know we are all in the same situations.


EllaD
__________________
DX 9/6/05
Lumpectomy 9/28/05
Wider margins 10/10/05
Right Mastectomy 10/17/05
Stage IIb,4/5 positive nodes
HER2+3 positive
ER- PR+
3.7 cm tumor
CX/Adrimiacin 4 over 8wks
Taxol/herceptin for 8 wks
Radiation 30 treatments
Currently on herceptin - every 3 wks.
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Old 10-09-2006, 10:31 AM   #3
mkrny
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Join Date: Mar 2006
Location: LI, NY
Posts: 38
Question memory improvement

Is anyone taking Alzheimer's drugs such as donepezil, exelon, etc?

My wife's memory is suffering from a number of prior chemo cocktails, WBR and most recently intrathecal MTX. I haven't gotten any oncs to say they would liek to she ehr try one but thats mostly because we are struggling to get current mets under control. I'm just looking forward a little bit further.

Quote from Medilne: Donepezil (doe-NEP-ah-zil) is used to treat the symptoms of mild to moderate Alzheimer's disease. Donepezil will not cure Alzheimer's disease, and it will not stop the disease from getting worse. However, it can improve thinking ability in some patients.

Ken & the other Maryann
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