Long-Term Neuropsychological Outcomes Following Temporal Lobe Epilepsy Surgery: An Update of the Literature

被引:14
作者
Alexandratou, Ioanna [1 ]
Patrikelis, Panayiotis [2 ]
Messinis, Lambros [3 ,4 ]
Alexoudi, Athanasia [2 ]
Verentzioti, Anastasia [2 ]
Stefanatou, Maria [2 ]
Nasios, Grigorios [5 ]
Panagiotopoulos, Vasileios [6 ]
Gatzonis, Stylianos [2 ]
机构
[1] Evangelismos Med Ctr, Dept Neurol, Ipsilantou 45-47, Athens 10676, Greece
[2] Natl & Kapodistrian Univ Athens, Sch Med, Dept Neurosurg 1, Athens 10676, Greece
[3] Aristotle Univ Thessaloniki, Dept Psychol, Lab Cognit Neurosci, Thessaloniki 54124, Greece
[4] Univ Patras, Dept Psychiat, Med Sch, Patras 26504, Greece
[5] Univ Ioannina, Sch Hlth Sci, Dept Speech & Language Therapy, Ioannina 45500, Greece
[6] Univ Patras, Dept Neurosurg, Med Sch, Patras 26500, Greece
关键词
refractory temporal seizures; neurosurgery; cognitive outcome; memory; long-term follow-up; INTRACAROTID AMOBARBITAL PROCEDURE; MATERIAL-SPECIFIC MEMORY; COGNITIVE OUTCOMES; PREDICTION; LOBECTOMY; RESECTION; PATTERNS; SEIZURES; SCORES;
D O I
10.3390/healthcare9091156
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We present an update of the literature concerning long-term neuropsychological outcomes following surgery for refractory temporal lobe epilepsy (TLE). A thorough search was conducted through the PubMed and Medline electronic databases for studies investigating neuropsychological function in adult patients undergoing resective TLE surgery and followed for a mean/median > five years period. Two independent reviewers screened citations for eligibility and assessed relevant studies for the risk of bias. We found eleven studies fulfilling the above requirements. Cognitive function remained stable through long-term follow up despite immediate post-surgery decline; a negative relation between seizure control and memory impairment has emerged and a possible role of more selective surgery procedures is highlighted.
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页数:9
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