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Epilepsy

Subtemporal Amygdalohippocampectomy Prevents Verbal Memory Impairment in the Language-Dominant Hemisphere

Hori T. · Yamane F. · Ochiai T. · Hayashi M. · Taira T.

Author affiliations

Department of Neurosurgery, Neurological Institute, Tokyo Women’s Medical University, Tokyo, Japan

Related Articles for ""

Meet Am Soc Stereotact Funct Neurosurg, New York, N.Y., 2003. Stereotact Funct Neurosurg 2003;80:18–21

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Article / Publication Details

First-Page Preview
Abstract of Epilepsy

Published online: January 29, 2004
Issue release date: January 2004

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 2

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN

Abstract

Background: In this report, we show the operative and neuropsychological results for 20 patients with medically intractable nonlesional temporal lobe epilepsy treated surgically by subtemporal amygdalohippocampectomy whose mean postoperative follow-up period was more than 6 years. Methods: Pre- and postoperative Wechsler Adult Intelligence Scale-Revised (WAIS/-R) scores, including verbal intelligence quotient (VIQ), performance IQ (PIQ) and full-scale IQ (FIQ) scores, were determined in the 19 adults. The revised Wechsler Intelligent Scale for Children was used in a 9-year-old boy. The verbal paired associates learning test was performed pre- and postoperatively in 15 patients. These data were compared pre- and postoperatively in 10 patients in whom the language-dominant hemisphere side was operated on, and in 5 patients in whom the language-non-dominant side was operated on. Results: Seizure control was achieved in 80% of patients, with improvement into Engel categories I and II without definite permanent complications except for postoperative memory impairment in one patient. VIQ improved after 2 years, and PIQ and FIQ improved after both 2 months and 2 years postoperatively. Conclusion: There was no significant decline in the postoperative verbal memory scores in those patients whose medial temporal structure of the language-dominant side had been removed.

© 2003 S. Karger AG, Basel


References

  1. Wieser HG: Selective amygdalohippocampectomy for temporal lobe epilepsy. Epilepsia 1988;29(suppl 2):s100–s113.
  2. Yasargil MG, Teddy PJ, Roth P: Selective amygdalo-hippocampectomy. I. Operative anatomy and surgical technique; in Symon L, et al (eds): Advances and Technical Standards in Neurosurgery. Wien, Springer, 1985, vol 12, pp 93–123.
  3. Hori T, Tabuchi S, Kurosaki M, Kondo S, Takenobu A, Watanabe T: Subtemporal amygdalohippocampectomy for medically intractable temporal lobe epilepsy. Neurosurgery 1993;33:50–57.
  4. Shimizu H: Changes of brain function after epilepsy surgery. Jpn J Clin Neurophysiol (Tokyo) 2002;30:283–290.

Article / Publication Details

First-Page Preview
Abstract of Epilepsy

Published online: January 29, 2004
Issue release date: January 2004

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 2

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN


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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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