Changes in Intelligence Following Temporal Lobectomy: Relationship to EEG Activity, Seizure Relief, and Pathology

作者: Jeffrey P. Lieb , Rebecca Rausch , Jerome Engel , W. Jann Brown , Paul H. Crandall

DOI: 10.1111/J.1528-1157.1982.TB05046.X

关键词:

摘要: Pre- and posttemporal lobectomy measures of intelligence memory in 36 patients with medically refractory complex partial seizures were compared (1) various aspects presurgical ictal interictal EEG activity derived from surface deep electrodes, (2) postlobectomy seizure relief, (3) pathological findings the resected lobe. With respect to data, bilaterally synchronous spikes (accompanied or unaccompanied by simultaneous spikes) sharp waves significantly correlated lower prelobectomy scores a drop these following lobectomy. multifocal onsets scores. Patients poor relief tended have The most likely show those demonstrating some combination an absence pathology specimen, signs indicative relief. Postlobectomy changes intellectual status are therefore not necessarily exclusively attributable amount experienced patients, but might be due factors.

参考文章(28)
J Bancaud, J Talairach, P Morel, M Bresson, A Bonis, S Geier, E Hemon, P Buser, “Generalized” epileptic seizures elicited by electrical stimulation of the frontal lobe in man Electroencephalography and Clinical Neurophysiology. ,vol. 37, pp. 275- 282 ,(1974) , 10.1016/0013-4694(74)90031-5
J. P. Lieb, G. O. Walsh, T. L. Babb, R. D. Walter, P. H. Crandall, C.A. Tassinari, A. Portera, D. Scheffner, A Comparison of EEG Seizure Patterns Recorded with Surface and Depth Electrodes in Patients with Temporal Lobe Epilepsy Epilepsia. ,vol. 17, pp. 137- 160 ,(1976) , 10.1111/J.1528-1157.1976.TB03392.X
Jeffrey P. Lieb, Jerome Engel, W. Jann Brown, Alan S. Gevins, Paul H. Crandall, Neuropathological findings following temporal lobectomy related to surface and deep EEG patterns. Epilepsia. ,vol. 22, pp. 539- 549 ,(1981) , 10.1111/J.1528-1157.1981.TB04125.X
Oscar A. Parsons, David E. Kemp, Intellectual functioning in temporal lobe epilepsy. Journal of Consulting Psychology. ,vol. 24, pp. 408- 414 ,(1960) , 10.1037/H0042096
Alan S. Gevins, Pattern recognition of human brain electrical potentials IEEE Transactions on Pattern Analysis and Machine Intelligence. pp. 383- 404 ,(1980) , 10.1109/TPAMI.1980.6592360
Jeffrey P Lieb, Stephen C Woods, Antonio Siccardi, Paul H Crandall, Donald O Walter, Barbara Leake, Quantitative analysis of depth spiking in relation to seizure foci in patients with temporal lobe epilepsy Electroencephalography and Clinical Neurophysiology. ,vol. 44, pp. 641- 663 ,(1978) , 10.1016/0013-4694(78)90130-X