The effects of cognitive rehabilitation on memory outcome after temporal lobe epilepsy surgery

@article{Helmstaedter2008TheEO,
  title={The effects of cognitive rehabilitation on memory outcome after temporal lobe epilepsy surgery},
  author={C. Helmstaedter and Barbara Loer and R Wohlfahrt and Axel Hammen and Josef Saar and Bernhard J. Steinhoff and Ansgar Quiske and Andreas Schulze-Bonhage},
  journal={Epilepsy \& Behavior},
  year={2008},
  volume={12},
  pages={402-409}
}
OBJECTIVE Epilepsy surgery is a valuable treatment option for patients with pharmacoresistant epilepsy, but seizure freedom is often achieved at the cost of cognitive impairments caused by surgery. The aim of this study was to investigate the short-term effects of cognitive rehabilitation on memory outcome after temporal lobe epilepsy surgery. METHODS Two groups of patients who underwent temporal lobe resection, one followed (n=55) and one not followed (n=57) by postoperative rehabilitation… Expand
Neuropsychological Outcome After Temporal Lobe Epilepsy Surgery in Patients With Postoperative Seizures following Unsuccessful Surgical Therapy
TLDR
Despite suboptimal epilepsy surgery outcome, this study demonstrates that attention /executive function, language, and psycho-emotional function improved substantially in this sample of patients. Expand
Impact of side of lesion, seizure outcome and interictal epileptiform discharges on attention and memory after surgery in temporal lobe epilepsy
TLDR
IEDs had an effect independent of seizure presence, but were found to have a “supplementary negative effect” when the two variables were combined. Expand
Memory rehabilitation and brain training for surgical temporal lobe epilepsy patients: A preliminary report
TLDR
Assessment of the short term impact of a memory rehabilitation programme on verbal memory test performance and subjective ratings of memory in everyday life in healthy controls and left temporal lobe epilepsy patients found pre-operative memory rehabilitation was not associated with better outcomes than post-operative intervention. Expand
Rehabilitation of verbal memory by means of preserved nonverbal memory abilities after epilepsy surgery
TLDR
A patient with epilepsy who underwent left anterior temporal cortex resection, sparing the hippocampus, to stop drug-refractory seizures is presented, and it is suggested that an efficient rehabilitation program is feasible and should be based on the individual cognitive profile and on the preserved cognitive abilities. Expand
Potential role of a cognitive rehabilitation program following left temporal lobe epilepsy surgery.
TLDR
Improved verbal learning and naming test performance, increase in memory strategy use and improved self-perception were observed following the rehabilitation and the findings support the potential role of a cognitive rehabilitation program following left temporal lobe surgery. Expand
Evaluation of memory in refractory temporal lobe epilepsy
Abstract Aim and Background: Evaluation of cognition is fundamental for every comprehensive epilepsy program. We sought to conduct this study to assess memory state of patients with refractoryExpand
Long-Term Seizure, Quality of Life, Depression, and Verbal Memory Outcomes in a Controlled Mesial Temporal Lobe Epilepsy Surgical Series Using Portuguese-Validated Instruments.
TLDR
It was found that, although surgical treatment was effective, its impact on social indicators was modest and the self-reported quality of life relied not only on seizure control but also on depressive symptoms and antiepileptic drug burden. Expand
Effective group-based memory training for patients with epilepsy
TLDR
Evidence is provided that a relatively short intervention can improve memory functioning in patients with epilepsy using a 6-week, group-based, psychoeducation and strategy course. Expand
The effects of computer-based rehabilitation on the cognitive functions of epilepsy patients
TLDR
The effects of computerized cognitive rehabilitation programs conducted with the purpose of slowing down cognitive losses and developing coping strategies in patients diagnosed with cryptogenic and symptomatic focal epilepsy were examined, with participants’ cognitive functions being evaluated through neuropsychological tests prior to and after rehabilitation. Expand
Short-term neurocognitive outcomes following anterior temporal lobectomy
TLDR
Right ATL was associated with improvement in verbal memory, while left ATL resulted in a decrement in performance, and short-interval follow-up is effective in elucidating postoperative cognitive changes. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 27 REFERENCES
Epilepsy surgery within the temporal lobe and its short-term and long-term effects on memory
  • R. Rausch
  • Psychology, Medicine
  • Current opinion in neurology
  • 2002
TLDR
Functional magnetic resonance imaging appears to provide significant information regarding hemispheric representation of language in the temporal lobe epilepsy patient, and the use of this technique to predict memory status following surgery appears promising. Expand
Chronic epilepsy and cognition: A longitudinal study in temporal lobe epilepsy
TLDR
Chronic temporal lobe epilepsy is associated with progressive memory impairment, and surgery, particularly if unsuccessful, accelerates this decline, however, memory decline may be stopped and even reversed if seizures are fully controlled. Expand
Worsening of quality of life after epilepsy surgery
TLDR
After temporal resection, health-related quality of life (HRQOL) improves or remains stable in seizure-free patients despite memory decline, but HRQOL declines when persistent seizures are accompanied by memory decline. Expand
Right hippocampal contribution to visual memory: a presurgical and postsurgical study in patients with temporal lobe epilepsy
TLDR
The results suggest that hippocampal damage is the major cause of non-verbal memory deficiencies in preoperative patients with right temporal lobe epilepsy, and support and extend findings from previous postoperative studies. Expand
Neuropsychological characteristics of the syndrome of mesial temporal lobe epilepsy.
TLDR
Distinct neuropsychological features of spared, compromised, and laterality-specific cognitive impairments characterize the syndrome of MTLE, a surgically remediable epileptic syndrome defined by the presence of hippocampal sclerosis. Expand
Long term effects of refractory temporal lobe epilepsy on cognitive abilities: a cross sectional study
  • H. Jokeit, A. Ebner
  • Psychology, Medicine
  • Journal of neurology, neurosurgery, and psychiatry
  • 1999
TLDR
Psychometric intelligence of patients with a longer duration of refractory TLE were most severely impaired, suggesting that epilepsy related noxious events and agents exhaust the compensatory capacity of brain functions. Expand
Predictors of epilepsy surgery outcome: a meta-analysis
TLDR
The results of the review provide some insight into the selection of the best surgical candidates in clinical practice but raise concerns on the quality of published reports, and may serve as the basis for the identification of better standards to assess surgical outcome in observational studies. Expand
Different effects of left anterior temporal lobectomy, selective amygdalohippocampectomy, and temporal cortical lesionectomy on verbal learning, memory, and recognition
In the present study, we investigated whether left hemisphere temporolateral resections and left selective amygdalohippocampectomy (SAH), have different effects on verbal learning, memory, andExpand
Differential Involvement of Left Temporolateral and Temporomesial Structures in Verbal Declarative Learning and Memory: Evidence from Temporal Lobe Epilepsy
TLDR
Verbal memory was evaluated preoperatively and during the recording of intracranial event related potentials and postoperatively after selective hippocampectomy, temporal cortical lesionectomy, or anterior two-thirds en bloc temporal lobe resection procedures in epilepsy patients being considered for surgical resection of the left temporal lobe. Expand
Cognitive rehabilitation of memory problems in patients with epilepsy
TLDR
In the design of a memory rehabilitation program some specific aspect should be taken into account, such as the need for psycho-education into the effects of cognitive deficits in daily life, the impact of personality and emotional reactions, and the individual perception of memory problems. Expand
...
1
2
3
...