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Serial Cognitive Testing in Temporal Lobe Epilepsy: Longitudinal Changes with Medical and Surgical Therapies
dc.contributor.authorSelwa, Linda M.en_US
dc.contributor.authorBerent, Stanleyen_US
dc.contributor.authorGiordani, Brunoen_US
dc.contributor.authorHenry, Thomas R.en_US
dc.contributor.authorBuchtel, Henry A.en_US
dc.contributor.authorRoss, Donald A.en_US
dc.date.accessioned2010-04-01T15:00:18Z
dc.date.available2010-04-01T15:00:18Z
dc.date.issued1994-07en_US
dc.identifier.citationSelwa, Linda M.; Berent, Stanley; Giordani, Bruno; Henry, Thomas R.; Buchtel, Henry A.; Ross, Donald A. (1994). "Serial Cognitive Testing in Temporal Lobe Epilepsy: Longitudinal Changes with Medical and Surgical Therapies." Epilepsia 35(4): 743-749. <http://hdl.handle.net/2027.42/65465>en_US
dc.identifier.issn0013-9580en_US
dc.identifier.issn1528-1167en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/65465
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=8082616&dopt=citationen_US
dc.description.abstractCognitive testing was repeated at intervals ranging from 1 to 8 years in 47 adult patients with temporal lobe epilepsy (TLE). Each patient underwent standardized batteries, including the Wechsler Adult Intelligence Scale, Revised (WAIS-R), and Wechsler Memory Scale (WMS). Both surgically treated and nonsurgical patients were examined. The nonsurgical group underwent serial testing for clinical indications, usually for complaints of memory dysfunction. Longitudinal testing could not verify any mean deterioration of intellect or memory in this group; variance over time was similar to test-retest norms in healthy controls. WAIS-R scores before and after resection in the surgical group were similar to our serial WAIS-R data in nonsurgical patients. When we divided surgical patients according to side of epileptogenesis, we noted the expected differences in verbal and visual memory. Right-sided surgery patients improved significantly in Full-scale IQ (FSIQ) and tended to improve in logical memory on postoperative testing. Patients undergoing left resections had no retest improvement and tended to show decrease in several measures of verbal memory. Our findings should stimulate continued investigation into the natural history of lateralized memory and intellectual function in epilepsy, particularly to clarify longterm cognitive outcome in nonsurgical patients.en_US
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dc.publisherBlackwell Publishing Ltden_US
dc.rights1994 International League Against Epilepsyen_US
dc.subject.otherTemporal Lobe Epilepsyen_US
dc.subject.otherCognitionen_US
dc.subject.otherNeuropsychometric Testingen_US
dc.subject.otherEpilepsy Surgeryen_US
dc.titleSerial Cognitive Testing in Temporal Lobe Epilepsy: Longitudinal Changes with Medical and Surgical Therapiesen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationum* Department of Neurology, University of Michigan, Ann Arbor, Michigan, U.S.A.en_US
dc.contributor.affiliationum† Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, U.S.A.en_US
dc.contributor.affiliationum† Department of Psychology, University of Michigan, Ann Arbor, Michigan, U.S.A.en_US
dc.contributor.affiliationum§ Section of Neurosurgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan, U.S.A.en_US
dc.contributor.affiliationum¶ Psychology Service, Veterans Administration Medical Center, Ann Arbor, Michigan, U.S.A.en_US
dc.identifier.pmid8082616en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/65465/1/j.1528-1157.1994.tb02505.x.pdf
dc.identifier.doi10.1111/j.1528-1157.1994.tb02505.xen_US
dc.identifier.sourceEpilepsiaen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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