Can postictal memory predict postoperative memory in patients with temporal lobe epilepsy?

Vulliemoz, Serge; Prilipko, Olga; Herrmann, François R; Pollo, Claudio; Landis, Theodor; Pegna, Alan J; Seeck, Margitta (2012). Can postictal memory predict postoperative memory in patients with temporal lobe epilepsy? Epilepsia, 53(10), e170-3. Malden, Mass.: Wiley-Blackwell 10.1111/j.1528-1167.2012.03535.x

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We investigated the contribution of postictal memory testing for lateralizing the epileptic focus and predicting memory outcome after surgery for temporal lobe epilepsy (TLE). Forty-five patients with TLE underwent interictal, postictal, and postoperative assessment of verbal and nonverbal memory. Surgery consisted of anterior temporal lobectomy (36), selective isolated amygdalohippocampectomy (6), or amygdalohippocampectomy coupled to lesionectomy (3). Postictal and postoperative but not interictal memory were significantly lower in left TLE than in right TLE. Nonverbal memory showed no significant difference in left TLE versus right TLE in all conditions. Postictal memory was significantly correlated with postoperative memory, but the effect disappeared when the lateralization of the focus was considered. Postictal verbal memory is a useful bedside tool that can help lateralize the epileptic focus. Larger studies are needed to further estimate its predictive value of the postoperative outcome.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Pollo, Claudio

ISSN:

0013-9580

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:37

Last Modified:

17 Mar 2015 21:28

Publisher DOI:

10.1111/j.1528-1167.2012.03535.x

PubMed ID:

22690704

Web of Science ID:

000309446700001

URI:

https://boris.unibe.ch/id/eprint/14839 (FactScience: 221973)

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