Language before and after temporal lobectomy: specificity of acute changes and relation to early risk factors.

Abstract:

:We evaluated language functions in 154 patients with left hemisphere speech dominance undergoing anterior temporal lobectomy (ATL). Measures of phonemic and semantic fluency, confrontation naming, repetition, comprehension, and reading were administered before and 3 weeks postoperatively. Patients were grouped by focus (left, LT; right, RT) and presence of early risk factors for development of seizures (ER, early risk, < or = 5 years; NER, no early risk): (LT-ER, n = 45; RT-ER, n = 49; LT-NER, n = 27; RT-NER, n = 33). Preoperatively, the LT group showed a selective naming deficit as compared with the RT group. Postoperatively only the LT-NER group showed significant overall decline in language. For this group, the change was attributable to a selective decline in naming as compared with other functions. These data indicate that there is a specific risk to naming after dominant ATL for adult temporal lobe epilepsy (TLE) patients with a left hemisphere focus and the absence of an early risk factor for the development of seizures.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Saykin AJ,Stafiniak P,Robinson LJ,Flannery KA,Gur RC,O'Connor MJ,Sperling MR

doi

10.1111/j.1528-1157.1995.tb00464.x

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

1071-7

issue

11

eissn

0013-9580

issn

1528-1167

journal_volume

36

pub_type

杂志文章
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