Structural versus functional prediction of memory change following anterior temporal lobectomy

被引:14
作者
Loring, DW
Meador, KJ
Lee, GP
Smith, JR
机构
[1] Georgetown Univ, Med Ctr, Dept Neurol, Washington, DC USA
[2] Med Coll Georgia, Dept Neurol, Augusta, GA 30912 USA
[3] Med Coll Georgia, Dept Neurosurg, Augusta, GA 30912 USA
关键词
wada test; intracarotid amobarbital procedure; temporal lobectomy; memory; neuropsychological testing; hippocampus; magnetic resonance imaging;
D O I
10.1016/j.yebeh.2004.01.001
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Decline in recent memory function is a significant risk for patients undergoing anterior temporal lobectomy. We report a patient with a febrile seizure history, complex partial seizures arising from the left anterior temporal lobe, and MRI evidence suggesting left hippocampal sclerosis, all of which indicate a low likelihood of significant postoperative memory decline. However, high normal verbal memory on neuropsychological testing and bilaterally normal Wada memory scores indicated increased risk for postoperative memory decline. Following left anterior temporal lobectomy, the patient displayed a significant decline in verbal recent memory that affected school performance. Despite the worsening in memory, the patient reported a significant improvement in his self-reported quality-of-life perception, demonstrating that factors other than change in cognitive performance are related to whether a patient considers epilepsy surgery worthwhile. In the present case, behavioral measures were superior to structural measures in predicting cognitive change following surgery. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:264 / 268
页数:5
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