Preoperative Prediction of Verbal Episodic Memory Outcome Using FMRI

Overview

Journal Neurosurg Clin N Am

Specialty Neurosurgery

Date 2011 Mar 26

PMID 21435573

Citations 12

Authors

Jeffrey R Binder

Affiliations

Soon will be listed here.

Abstract

This article focuses on an important neurosurgical problem for which functional imaging may have a role. Temporal lobe epilepsy surgery typically involves removal of much of the anterior medial temporal lobe, which is critical for encoding and retrieval of long-term episodic memories. Verbal episodic memory decline after left anterior temporal lobe resection occurs in 30% to 60% of such patients. Recent studies show that preoperative fMRI can predict the degree of verbal memory change that will occur, and that fMRI improves prediction accuracy when combined with other routine tests. The predictive power of fMRI appears to be at least as good as the Wada memory test, making fMRI a viable noninvasive alternative to the Wada for preoperative assessment.

Citing Articles

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Lateralized differences for verbal learning across trials in temporal lobe epilepsy are not affected by surgical intervention.

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