Neuropsychologic assessment in surgical treatment of epilepsy

Mayo Clinic Proceedings
M R Trenerry

Abstract

Neuropsychologic assessment has long been an integral part of evaluation for surgical treatment of epilepsy. Neuropsychologic evaluation and consultation continue to be an important part of the assessment for operative intervention for epilepsy, but the role of neuropsychology has changed over time. At one time, neuropsychologic assessment assumed a diagnostic role in preoperative evaluation for epilepsy and also contributed to the lateralization and localization of the seizure focus. Sophisticated electroencephalographic techniques and especially neuroimaging have revolutionized the diagnosis and management in epilepsy surgical treatment centers. Although still helpful, neuropsychology no longer has a major role in lateralization or localization of seizure onset. This report describes neuropsychologic evaluation and its current role in surgical treatment of epilepsy. The characteristics and purposes of neuropsychologic assessment and Wada testing (intracarotid injection of amobarbital) are described. Current research on assessment of emotional adjustment and on its predictors before and after surgical therapy for epilepsy is reviewed. Finally, the risk for neuropsychologic decline after temporal lobectomy is discussed in light...Continue Reading

References

Mar 1, 1972·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·G Gainotti
Jan 1, 1995·Magnetic Resonance Imaging·M R TrenerryK J Meador
Oct 1, 2008·Seizure : the Journal of the British Epilepsy Association·Vladimir V Kalinin, Dmitriy A Polyanskiy
Jul 15, 2011·The Journal of Neuroscience : the Official Journal of the Society for Neuroscience·Elizabeth RaceMieke Verfaellie

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Citations

May 18, 2005·NeuroRx : the Journal of the American Society for Experimental NeuroTherapeutics·Jawad F KirmaniAdnan I Qureshi
May 15, 2003·The International Journal of Neuroscience·Patricia Wiener
Nov 21, 2007·Neuropsychology Review·Brian D Bell, Anna R Giovagnoli
Apr 12, 2003·Brain : a Journal of Neurology·Jennifer T CrinionRichard J S Wise
Jan 31, 2019·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A V LebedevaV V Krylov
Jun 1, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·M Jones-GotmanC S Kubu

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