Memory fMRI predicts verbal memory decline after anterior temporal lobe resection

Neurology
M K SidhuJohn S Duncan

Abstract

To develop a clinically applicable memory functional MRI (fMRI) method of predicting postsurgical memory outcome in individual patients. In this prospective cohort study, 50 patients with temporal lobe epilepsy (23 left) and 26 controls underwent an fMRI memory encoding paradigm of words with a subsequent out-of-scanner recognition assessment. Neuropsychological assessment was performed preoperatively and 4 months after anterior temporal lobe resection, and at equal time intervals in controls. An event-related analysis was used to explore brain activations for words remembered and change in verbal memory scores 4 months after surgery was correlated with preoperative activations. Individual lateralization indices were calculated within a medial temporal and frontal region and compared with other clinical parameters (hippocampal volume, preoperative verbal memory, age at onset of epilepsy, and language lateralization) as a predictor of verbal memory outcome. In left temporal lobe epilepsy patients, left frontal and anterior medial temporal activations correlated significantly with greater verbal memory decline, while bilateral posterior hippocampal activation correlated with less verbal memory decline postoperatively. In a multiv...Continue Reading

Citations

Jan 13, 2016·Brain : a Journal of Neurology·Meneka K SidhuJohn S Duncan
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Jun 26, 2015·Current Opinion in Neurology·Francesca Pittau, Serge Vulliemoz
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