Neuropsychological Outcome Following Anterior Temporal Lobectomy in Patients With and Without the Syndrome of Mesial Temporal Lobe Epilepsy
The nature, pattern, and degree of neuropsychological change following anterior temporal lobectomy (ATL) were examined as a function of the presence or absence of the syndrome of mesial temporal lobe epilepsy (MTLE). Fifty-four patients exhibited the syndrome of MTLE, while 34 patients were without...
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| Veröffentlicht in: | Neuropsychology 1998-04, Vol.12 (2), p.303-316 |
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| creator | Seidenberg, Michael Hermann, Bruce Wyler, Allen R Davies, Keith Dohan, F. Curtis Leveroni, Catherine |
| description | The nature, pattern, and degree of neuropsychological change following anterior temporal lobectomy (ATL) were examined as a function of the presence or absence of the syndrome of mesial temporal lobe epilepsy (MTLE). Fifty-four patients exhibited the syndrome of MTLE, while 34 patients were without the syndrome (non-MTLE). The test-retest performance of a group of 40 epilepsy patients who did not undergo surgery was used to derive regression-based estimates of test-retest change. Overall, the MTLE group did not show significant cognitive decline following ATL. In contrast, the left non-MTLE group showed significant declines on verbal memory, confrontation naming, and verbal conceptual ability. Further, verbal memory was the most substantial area of decline, and was independent of seizure outcome. Clinical and theoretical implications of these findings are discussed. |
| doi_str_mv | 10.1037/0894-4105.12.2.303 |
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Curtis ; Leveroni, Catherine</creator><creatorcontrib>Seidenberg, Michael ; Hermann, Bruce ; Wyler, Allen R ; Davies, Keith ; Dohan, F. Curtis ; Leveroni, Catherine</creatorcontrib><description>The nature, pattern, and degree of neuropsychological change following anterior temporal lobectomy (ATL) were examined as a function of the presence or absence of the syndrome of mesial temporal lobe epilepsy (MTLE). Fifty-four patients exhibited the syndrome of MTLE, while 34 patients were without the syndrome (non-MTLE). The test-retest performance of a group of 40 epilepsy patients who did not undergo surgery was used to derive regression-based estimates of test-retest change. Overall, the MTLE group did not show significant cognitive decline following ATL. In contrast, the left non-MTLE group showed significant declines on verbal memory, confrontation naming, and verbal conceptual ability. Further, verbal memory was the most substantial area of decline, and was independent of seizure outcome. Clinical and theoretical implications of these findings are discussed.</description><identifier>ISSN: 0894-4105</identifier><identifier>EISSN: 1931-1559</identifier><identifier>DOI: 10.1037/0894-4105.12.2.303</identifier><identifier>PMID: 9556776</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adult ; Adult and adolescent clinical studies ; Analysis of Variance ; Biological and medical sciences ; Brain Damage ; Case-Control Studies ; Cerebral Decortication - adverse effects ; Cognition Disorders - etiology ; Cognition Disorders - surgery ; Cognitive Processes ; Dominance, Cerebral - physiology ; Epilepsy ; Epilepsy, Temporal Lobe - complications ; Epilepsy, Temporal Lobe - pathology ; Epilepsy, Temporal Lobe - surgery ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Hippocampus - pathology ; Hippocampus - surgery ; Human ; Humans ; Language Disorders - etiology ; Male ; Medical sciences ; Memory Disorders - etiology ; Memory Disorders - surgery ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropsychological Assessment ; Neuropsychological Tests ; Organic mental disorders. Neuropsychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Curtis</creatorcontrib><creatorcontrib>Leveroni, Catherine</creatorcontrib><title>Neuropsychological Outcome Following Anterior Temporal Lobectomy in Patients With and Without the Syndrome of Mesial Temporal Lobe Epilepsy</title><title>Neuropsychology</title><addtitle>Neuropsychology</addtitle><description>The nature, pattern, and degree of neuropsychological change following anterior temporal lobectomy (ATL) were examined as a function of the presence or absence of the syndrome of mesial temporal lobe epilepsy (MTLE). Fifty-four patients exhibited the syndrome of MTLE, while 34 patients were without the syndrome (non-MTLE). The test-retest performance of a group of 40 epilepsy patients who did not undergo surgery was used to derive regression-based estimates of test-retest change. Overall, the MTLE group did not show significant cognitive decline following ATL. In contrast, the left non-MTLE group showed significant declines on verbal memory, confrontation naming, and verbal conceptual ability. Further, verbal memory was the most substantial area of decline, and was independent of seizure outcome. Clinical and theoretical implications of these findings are discussed.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Brain Damage</subject><subject>Case-Control Studies</subject><subject>Cerebral Decortication - adverse effects</subject><subject>Cognition Disorders - etiology</subject><subject>Cognition Disorders - surgery</subject><subject>Cognitive Processes</subject><subject>Dominance, Cerebral - physiology</subject><subject>Epilepsy</subject><subject>Epilepsy, Temporal Lobe - complications</subject><subject>Epilepsy, Temporal Lobe - pathology</subject><subject>Epilepsy, Temporal Lobe - surgery</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Hippocampus - pathology</subject><subject>Hippocampus - surgery</subject><subject>Human</subject><subject>Humans</subject><subject>Language Disorders - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory Disorders - etiology</subject><subject>Memory Disorders - surgery</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropsychological Assessment</subject><subject>Neuropsychological Tests</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Sclerosis</subject><subject>Severity of Illness Index</subject><subject>Syndromes</subject><subject>Temporal Lobe</subject><subject>Temporal Lobe - pathology</subject><subject>Temporal Lobe - surgery</subject><subject>Treatment Outcome</subject><subject>Verbal Learning - physiology</subject><issn>0894-4105</issn><issn>1931-1559</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd9qFDEUh4Moda2-gCAEEe9mTSb_Zi5LaVVYrWDFy5DNnOmmzCRjkkH2GXxpM-3QorlJyPnO7xz4EHpNyZYSpj6QpuUVp0Rsab2tt4ywJ2hDW0YrKkT7FG0egOfoRUq3hJQPKU7QSSuEVEpu0J-vMMcwpaM9hCHcOGsGfDVnG0bAl2EYwm_nb_CZzxBdiPgaxinEwuzCHmwO4xE7j7-Z7MDnhH-6fMDGd3ePMGecD4C_H30Xl7zQ4y-QXOn-JwZfTG6AssJL9Kw3Q4JX632KflxeXJ9_qnZXHz-fn-0qwxqWq97wxnSKScEb2dessaAaYEwSYozq-6bUGOEgJXDFBdtbS2vT7ZkhgtStZafo_X3uFMOvGVLWo0sWhsF4CHPSqm1ISykr4Nv_wNswR19205JyxqjgtED1PWRjSClCr6foRhOPmhK9aNKLBb1Y0LTWtS6aStObNXnej9A9tKxeSv3dWjepKOmj8dalx2RVzl3MipnJ6EWiidnZAZL2MD9O-wuGbKg-</recordid><startdate>19980401</startdate><enddate>19980401</enddate><creator>Seidenberg, Michael</creator><creator>Hermann, Bruce</creator><creator>Wyler, Allen R</creator><creator>Davies, Keith</creator><creator>Dohan, F. Curtis</creator><creator>Leveroni, Catherine</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1608-8591</orcidid></search><sort><creationdate>19980401</creationdate><title>Neuropsychological Outcome Following Anterior Temporal Lobectomy in Patients With and Without the Syndrome of Mesial Temporal Lobe Epilepsy</title><author>Seidenberg, Michael ; Hermann, Bruce ; Wyler, Allen R ; Davies, Keith ; Dohan, F. Curtis ; Leveroni, Catherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a383t-fa48ad7365486f238ce78e33600aa7ff8d73304e66e47453bcc12adb3a05029c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Brain Damage</topic><topic>Case-Control Studies</topic><topic>Cerebral Decortication - adverse effects</topic><topic>Cognition Disorders - etiology</topic><topic>Cognition Disorders - surgery</topic><topic>Cognitive Processes</topic><topic>Dominance, Cerebral - physiology</topic><topic>Epilepsy</topic><topic>Epilepsy, Temporal Lobe - complications</topic><topic>Epilepsy, Temporal Lobe - pathology</topic><topic>Epilepsy, Temporal Lobe - surgery</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Hippocampus - pathology</topic><topic>Hippocampus - surgery</topic><topic>Human</topic><topic>Humans</topic><topic>Language Disorders - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory Disorders - etiology</topic><topic>Memory Disorders - surgery</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropsychological Assessment</topic><topic>Neuropsychological Tests</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Sclerosis</topic><topic>Severity of Illness Index</topic><topic>Syndromes</topic><topic>Temporal Lobe</topic><topic>Temporal Lobe - pathology</topic><topic>Temporal Lobe - surgery</topic><topic>Treatment Outcome</topic><topic>Verbal Learning - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seidenberg, Michael</creatorcontrib><creatorcontrib>Hermann, Bruce</creatorcontrib><creatorcontrib>Wyler, Allen R</creatorcontrib><creatorcontrib>Davies, Keith</creatorcontrib><creatorcontrib>Dohan, F. Curtis</creatorcontrib><creatorcontrib>Leveroni, Catherine</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Neuropsychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seidenberg, Michael</au><au>Hermann, Bruce</au><au>Wyler, Allen R</au><au>Davies, Keith</au><au>Dohan, F. Curtis</au><au>Leveroni, Catherine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuropsychological Outcome Following Anterior Temporal Lobectomy in Patients With and Without the Syndrome of Mesial Temporal Lobe Epilepsy</atitle><jtitle>Neuropsychology</jtitle><addtitle>Neuropsychology</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>12</volume><issue>2</issue><spage>303</spage><epage>316</epage><pages>303-316</pages><issn>0894-4105</issn><eissn>1931-1559</eissn><abstract>The nature, pattern, and degree of neuropsychological change following anterior temporal lobectomy (ATL) were examined as a function of the presence or absence of the syndrome of mesial temporal lobe epilepsy (MTLE). Fifty-four patients exhibited the syndrome of MTLE, while 34 patients were without the syndrome (non-MTLE). The test-retest performance of a group of 40 epilepsy patients who did not undergo surgery was used to derive regression-based estimates of test-retest change. Overall, the MTLE group did not show significant cognitive decline following ATL. In contrast, the left non-MTLE group showed significant declines on verbal memory, confrontation naming, and verbal conceptual ability. Further, verbal memory was the most substantial area of decline, and was independent of seizure outcome. Clinical and theoretical implications of these findings are discussed.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>9556776</pmid><doi>10.1037/0894-4105.12.2.303</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-1608-8591</orcidid></addata></record> |
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| subjects | Adult Adult and adolescent clinical studies Analysis of Variance Biological and medical sciences Brain Damage Case-Control Studies Cerebral Decortication - adverse effects Cognition Disorders - etiology Cognition Disorders - surgery Cognitive Processes Dominance, Cerebral - physiology Epilepsy Epilepsy, Temporal Lobe - complications Epilepsy, Temporal Lobe - pathology Epilepsy, Temporal Lobe - surgery Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Hippocampus - pathology Hippocampus - surgery Human Humans Language Disorders - etiology Male Medical sciences Memory Disorders - etiology Memory Disorders - surgery Nervous system (semeiology, syndromes) Neurology Neuropsychological Assessment Neuropsychological Tests Organic mental disorders. Neuropsychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Sclerosis Severity of Illness Index Syndromes Temporal Lobe Temporal Lobe - pathology Temporal Lobe - surgery Treatment Outcome Verbal Learning - physiology |
| title | Neuropsychological Outcome Following Anterior Temporal Lobectomy in Patients With and Without the Syndrome of Mesial Temporal Lobe Epilepsy |
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