Differences in memory performance and other clinical characteristics in patients with mesial temporal lobe epilepsy with and without hippocampal atrophy

Mesial temporal lobe epilepsy (MTLE) is usually accompanied by memory deficits due to damage to the hippocampal system. In most studies, however, the influence of hippocampal atrophy (HA) is confounded with other variables, such as: type of initial precipitating injury and pathological substrate, ef...

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Veröffentlicht in:Epilepsy & behavior 2004-02, Vol.5 (1), p.22-27
Hauptverfasser: Alessio, A., Damasceno, B.P., Camargo, C.H.P., Kobayashi, E., Guerreiro, C.A.M., Cendes, F.
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container_end_page 27
container_issue 1
container_start_page 22
container_title Epilepsy & behavior
container_volume 5
creator Alessio, A.
Damasceno, B.P.
Camargo, C.H.P.
Kobayashi, E.
Guerreiro, C.A.M.
Cendes, F.
description Mesial temporal lobe epilepsy (MTLE) is usually accompanied by memory deficits due to damage to the hippocampal system. In most studies, however, the influence of hippocampal atrophy (HA) is confounded with other variables, such as: type of initial precipitating injury and pathological substrate, effect of lesion (HA) lateralization, history of febrile seizures, status epilepticus, age of seizure onset, duration of epilepsy, seizure frequency, and antiepileptic drugs (AEDs). To investigate the relationship between memory deficits and these variables, we studied 20 patients with MTLE and signs of HA on MRI and 15 MTLE patients with normal high-resolution MRI. The findings indicated that (1) HA, earlier onset of seizures, longer duration of epilepsy, higher seizure frequency, and AEDs (polytherapy) are associated with memory deficits; and (2) there is a close relationship between deficits of verbal memory and left HA, but not between visual memory and right HA.
doi_str_mv 10.1016/j.yebeh.2003.10.010
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subjects Adolescent
Adult
Anticonvulsants - therapeutic use
Antiepileptic drugs
Atrophy - pathology
Atrophy - physiopathology
Duration of epilepsy
Electroencephalography
Epilepsy, Temporal Lobe - pathology
Epilepsy, Temporal Lobe - physiopathology
Febrile seizures
Female
Functional Laterality
Hippocampal atrophy
Hippocampus - pathology
Humans
Intelligence - physiology
Intelligence Tests - statistics & numerical data
Magnetic Resonance Imaging
Male
Memory - physiology
Memory deficits
Mesial temporal lobe epilepsy
Middle Aged
Neuropsychological evaluation
Neuropsychological Tests - statistics & numerical data
Seizure frequency
Seizure onset
Seizures, Febrile - physiopathology
Status epilepticus
Status Epilepticus - drug therapy
Status Epilepticus - physiopathology
title Differences in memory performance and other clinical characteristics in patients with mesial temporal lobe epilepsy with and without hippocampal atrophy
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