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Titolo:
INTRACAROTID AMOBARBITAL PROCEDURE MEMORY PERFORMANCE AND AGE AT FIRST RISK FOR SEIZURES DISTINGUISH BETWEEN LATERAL NEOCORTICAL AND MESIALTEMPORAL-LOBE EPILEPSY
Autore:
HAMBERGER MJ; WALCZAK TS; GOODMAN RR;
Indirizzi:
NEUROL INST,710 W 168TH ST,UNIT 100 NEW YORK NY 10032 COLUMBIA UNIV,COLL PHYS & SURG,DEPT NEUROL NEW YORK NY 10025 COLUMBIA UNIV,COLL PHYS & SURG,DEPT NEUROL SURG NEW YORK NY 10025
Titolo Testata:
Epilepsia
fascicolo: 11, volume: 37, anno: 1996,
pagine: 1088 - 1092
SICI:
0013-9580(1996)37:11<1088:IAPMPA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
VERBAL MEMORY; LOBECTOMY; STIMULATION;
Keywords:
WADA TEST; AMOBARBITAL; TEMPORAL LOBE; EPILEPSY; RISK FACTOR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
M.J. Hamberger et al., "INTRACAROTID AMOBARBITAL PROCEDURE MEMORY PERFORMANCE AND AGE AT FIRST RISK FOR SEIZURES DISTINGUISH BETWEEN LATERAL NEOCORTICAL AND MESIALTEMPORAL-LOBE EPILEPSY", Epilepsia, 37(11), 1996, pp. 1088-1092

Abstract

Purpose: To determine whether intracarotid amobarbital procedure (IAP) memory-performance asymmetries and early risk factors for epilepsy distinguish between lateral neocortical temporal lobe epilepsy (LNTLE) and mesiobasal temporal lobe epilepsy (MBTLE). Methods: We studied 10 patients with LNTLE and 22 with MBTLE. All LNTLE patients showed (a) presence of temporal neocortical lesion or lateral seizure onset by intracranial recording, and (b) absence of mesial temporal sclerosis (MTS) by histopathologic analysis. All patients with MBTLE showed (a) video-scalp EEG seizures consistent with mesial TLE, and (b) presence of unilateral MTS by histopathologic analysis. All patients had good surgical outcomes (Engel I or II). Unilateral IAP memory performance was defined as percentage of memory items presented during hemispheric anesthesia that was recognized after recovery. IAP asymmetry scores were the differences in memory performance after right and left injections. Results: Mean memory-asymmetry scores were significantly lower in the LNTLE than in the MBTLE group. An IAP memory asymmetry of <25% correctly classified seven of 10 patients with LNTLE, and an asymmetry of greater than or equal to 25% correctly classified IS of 22 patients with MBTLE. Age at first risk for epilepsy was significantly younger in those with MBTLE than in those with nonlesional LNTLE. Results suggest that both IAP memory performance and age at first risk can help distinguish between MBTLE and LNTLE.

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Documento generato il 28/09/20 alle ore 11:26:42