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Maintained

Neurocognitive

function

Total

(n=1194)

1 tumors

N=455

2-4 tumors

(B) N=531

5-10

tumors

(C) N=208

P

value

B vs C

4 months after SRS

12 months after SRS

24 months after SRS

36 months after SRS

623/662 (94%)

333/366 (91)

120/128 (94)

28/30 (93%)

243/256

(95%)

141/154

(92%)

55/60 (92%)

14/15(93%)

263/284 (93%)

139/152 (91%)

47/48 (98%)

10/11 (91%)

117/

122

(96%)

53/60 (88%)

18/20 (90%)

4/4 (100%)

0.27

0.60

0.20

1.00

In long term survivors, decline of Neurocognitive dysfunction

is detectable, but not higher than 10% even in the group of

multiple brain metastases.