Outcome of Temporal Lobectomy in Adolescents

Lewis, Darrell V.; Thompson, Robert J.; Santos, César Cabello dos; Oakes, W. Jerry; Radtke, Rodney A.; Friedman, Allen H.; Lee, Namsoo; Swartzwelder, H. Scott

doi:10.1016/0896-6974(96)00013-8

Cited by 32 publications

(19 citation statements)

References 25 publications

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“…[3][4][5][6] of the block-design test of the German Wechsler Intelligence Scale for Adults (HAWIE) (29). A total score was computed by adding the four raw scores.…”

Section: Visuoconstructive Abilitiesmentioning

confidence: 99%

“…In addition, the few studies that have been performed give rather inconsistent findings. Regarding memory, which is considered the most vulnerable cognitive function in patients with TLE (1,6-lo), Meyer et al (4), as well as Lewis et al (5), did not observe postoperative changes in performance at mean postoperative follow-up intervals of 4.5 and 4.2 years, respectively. In contrast, Adams et al (2) found significantly decreased verbal memory performance in the left TLE group 6 months after surgery.…”

mentioning

confidence: 99%

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Pre‐ and Postoperative Neuropsychological Profiles in Children and Adolescents with Temporal Lobe Epilepsy

Lendt¹,

Helmstaedter²,

Elger³

1999

Epilepsia

123

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Summary: Purpose:To evaluate the neuropsychological performance of children before and after temporal lobe resection (TLR).Methods: Memory, attention, language, and visuoconstructive abilities were examined in 20 children (age 10-16 years) before, and 3 and 12 months after TLR (right, n = 10; left, n = 10; two-thirds anterior resection, n = 16; amygdalohippocampectomy, n = 4). Preoperative performance was compared with data of 30 age-matched healthy children; changes in performance after surgery were determined by repeatedmeasurement multivariate analysis of variance (MANOVA) and by use of reliable change indices (RCI).Results: Preoperatively, no differences were observed between patients and controls in verbal and figural memory performance. Children with temporal lobe epilepsy (TLE), however, and particularly those with a left temporal focus, showed significantly reduced language performance. Repeatedmeasurement statistics indicated that memory performance did not change after surgery, whereas language performance and attention significantly improved 3 months and 1 year after surgery, respectively. Individual evaluations of memory showed gains in five children and deterioration in four children. Poor seizure control appeared the decisive variable characterizing children with losses in memory.Conclusions: Compared with adults, pre-and postoperative memory data suggest less pronounced hemispheric differences in school-age children with TLE. The results raise the possibility that children have a lower risk of memory deterioration after TLR, which may be due to their larger potential for cerebral plasticity.

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“…[3][4][5][6] of the block-design test of the German Wechsler Intelligence Scale for Adults (HAWIE) (29). A total score was computed by adding the four raw scores.…”

Section: Visuoconstructive Abilitiesmentioning

confidence: 99%

mentioning

confidence: 99%

Pre‐ and Postoperative Neuropsychological Profiles in Children and Adolescents with Temporal Lobe Epilepsy

Lendt¹,

Helmstaedter²,

Elger³

1999

Epilepsia

123

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“…Different results on the outcome of memory after temporal lobe surgery in children have been reported, some findings showing memory decline (12,21,23,(26)(27) and other data showing no significant change (11,(29)(30)(31)(32)(33) . The discrepancy may be due to the fact that TLE in childhood is a different condition from TLE in adults, both in terms of clinical features and neuropathology (34) .…”

Section: Post-surgical Studiesmentioning

confidence: 99%

“…One year later, however, the children showed some improvement, and this was attributed to the great plasticity of the immature brain (12) . Two studies related a significant effect of the side of surgery on visual memory performance (28)(29) . Other authors found neither neuropsychological decline after surgery nor differences between right or left resection in children (11,23,(29)(30) .…”

Section: Post-surgical Studiesmentioning

confidence: 99%

“…Two studies related a significant effect of the side of surgery on visual memory performance (28)(29) . Other authors found neither neuropsychological decline after surgery nor differences between right or left resection in children (11,23,(29)(30) . Lendt et al (1999) reported significant improvement both in language and attention performance after temporal resection, but no change in memory (11) .…”

Section: Post-surgical Studiesmentioning

confidence: 99%

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Memory impairment in children with temporal lobe epilepsy: a review

Guimarães

Rzezak

et al. 2006

J. epilepsy clin. neurophysiol.

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Introduction:The authors present a review article on memory aspects of temporal lobe epilepsy in childhood. Methods: We performed a search in the literature. Results: Temporal lobe epilepsy (TLE) in childhood present with great clinical, electroencephalographic and etiological diversity. The neuropsychological features in children with TLE are not well-defined yet. The relationship between the lateralization of the lesion and performance on memory tests is not established. Conclusion: The studies performed in children with TLE show controversy data. This finding may be due to the etiological, clinical and electroencephalographic diversity seen in such group of children. Besides, most studies use different assessments. Therefore, it is clear that more studies are necessary to elucidate which neuropsychological deficits occur in children with TLE.

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Neuropsychological Outcome of Temporal and Extratemporal Lobe Resections in Children

Helmstaedter

Lendt

2001

Advances in Behavioral Biology

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Outcome of Temporal Lobectomy in Adolescents

Cited by 32 publications

References 25 publications

Pre‐ and Postoperative Neuropsychological Profiles in Children and Adolescents with Temporal Lobe Epilepsy

Pre‐ and Postoperative Neuropsychological Profiles in Children and Adolescents with Temporal Lobe Epilepsy

Memory impairment in children with temporal lobe epilepsy: a review

Neuropsychological Outcome of Temporal and Extratemporal Lobe Resections in Children

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