Working memory deficit in drug-resistant epilepsy with an amygdala lesion

Keiko Usui , Kiyohito Terada , Naotaka Usui , Kazumi Matsuda , Akihiko Kondo , Takayasu Tottori , Jun Shinozaki , Takashi Nagamine , Yushi Inoue
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引用次数: 4

Abstract

This study compared temporal lobe epilepsy (TLE) patients with amygdala lesion (AL) without hippocampal sclerosis (HS) (TLE-AL) with patients with TLE and HS without AL (TLE-HS). Both subtypes of TLE arose from the right hemisphere.

The TLE-AL group exhibited a lower Working Memory Index (WMI) on the Wechsler Adult Intelligence Scale, third edition (WAIS-III), indicating that the amygdala in the right hemisphere is involved in memory-related function. [18F]fluorodeoxyglucose positron emission topography (FDG-PET) showed glucose hypometabolism limited to the right uncus for the TLE-AL group.

The results suggest the importance of considering cognitive functions in the non-dominant hemisphere to prevent impairment after surgery.

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杏仁核损伤的耐药癫痫患者的工作记忆缺陷
本研究比较了颞叶癫痫(TLE)伴杏仁核病变(AL)不伴海马硬化(HS) (TLE-AL)与伴颞叶癫痫(TLE)伴HS不伴AL (TLE-HS)的患者。两种类型的TLE都起源于右半球。在韦氏成人智力量表第三版(WAIS-III)中,TLE-AL组表现出较低的工作记忆指数(WMI),表明右半球杏仁核参与记忆相关功能。[18F]氟脱氧葡萄糖正电子发射形貌图(FDG-PET)显示,TLE-AL组的葡萄糖低代谢仅限于右侧病灶。结果表明,考虑非优势半球的认知功能对于预防手术后损伤的重要性。
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