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Amnesia after unilateral temporal lobectomy: a case report.
Loring, D W; Hermann, B P; Meador, K J; Lee, G P; Gallagher, B B; King, D W; Murro, A M; Smith, J R; Wyler, A R.
Afiliación
  • Loring DW; Department of Neurology, Medical College of Georgia, Augusta 30912-3275.
Epilepsia ; 35(4): 757-63, 1994.
Article en En | MEDLINE | ID: mdl-8082618
We report a mixed handed (L > R) patient with exclusive right cerebral language representation who developed a permanent anterograde amnestic syndrome after right anterotemporal lobectomy. Preoperative neuropsychological performance consisted of impaired verbal memory and normal nonverbal memory. Wada memory performance was asymmetrical for objects presented soon after amobarbital injection in conjunction with no memory asymmetry for items presented later in the Wada evaluation. Pre- and postoperative magnetic resonance imaging (MRI) scans showed no structural lesions; however, postoperative MRI hippocampal volume measurements suggested decreased hippocampal volume for the nonresected temporal lobe. These results confirm the risk of anterograde amnesia after unilateral temporal lobectomy and demonstrate that baseline neuropsychological testing may falsely literalize material-specific memory functions in patients with atypical cerebral language dominance.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Lóbulo Temporal / Epilepsia del Lóbulo Temporal / Lateralidad Funcional / Trastornos de la Memoria Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Epilepsia Año: 1994 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Lóbulo Temporal / Epilepsia del Lóbulo Temporal / Lateralidad Funcional / Trastornos de la Memoria Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Epilepsia Año: 1994 Tipo del documento: Article Pais de publicación: Estados Unidos