“Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent

Memory deficits are commonly associated with temporal-lobe epilepsy. Memory may worsen after surgical resection of the temporal lobe. Risk factors for decline are structural integrity of the mesial temporal lobe structures and intact pre-operative memory. Subjective memory complaints are influenced...

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Main Author: Mary Lou Smith
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Epilepsy & Behavior Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589986421000897
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author Mary Lou Smith
author_facet Mary Lou Smith
author_sort Mary Lou Smith
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description Memory deficits are commonly associated with temporal-lobe epilepsy. Memory may worsen after surgical resection of the temporal lobe. Risk factors for decline are structural integrity of the mesial temporal lobe structures and intact pre-operative memory. Subjective memory complaints are influenced by depression or other psychological disorders. A 16-year-old girl underwent resection from the right lateral and medial temporal lobe and after surgery she complained of a significant memory impairment, which was unexpected given her baseline assessment. Before undertaking a neuropsychological assessment, she was referred for a psychiatric consultation which revealed depression, leading to treatment with anditdepressant medication. Over time she also admitted to severe headaches and inadequate sleep. With these issues addressed, assessment indicated memory performance had not changed relative to her preoperative baseline with stability or improvement in memory across longitudinal assessments. This case illustrates the contribution of mood state and other potential factors in contributing to subjective memory complaints.
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spelling doaj.art-0e13e2d540144d70917d5011c47026ed2022-12-22T01:06:08ZengElsevierEpilepsy & Behavior Reports2589-98642022-01-0118100515“Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescentMary Lou Smith0Address: Neurosciences and Mental Health Program, The Hospital for Sick Children, 555 University Avenue, Toronto ON M5G 1X8, Canada.; University of Toronto, The Hospital for Sick Children, Toronto ON M5G 1X8, CanadaMemory deficits are commonly associated with temporal-lobe epilepsy. Memory may worsen after surgical resection of the temporal lobe. Risk factors for decline are structural integrity of the mesial temporal lobe structures and intact pre-operative memory. Subjective memory complaints are influenced by depression or other psychological disorders. A 16-year-old girl underwent resection from the right lateral and medial temporal lobe and after surgery she complained of a significant memory impairment, which was unexpected given her baseline assessment. Before undertaking a neuropsychological assessment, she was referred for a psychiatric consultation which revealed depression, leading to treatment with anditdepressant medication. Over time she also admitted to severe headaches and inadequate sleep. With these issues addressed, assessment indicated memory performance had not changed relative to her preoperative baseline with stability or improvement in memory across longitudinal assessments. This case illustrates the contribution of mood state and other potential factors in contributing to subjective memory complaints.http://www.sciencedirect.com/science/article/pii/S2589986421000897Subjective memory complaintDepressionTemporal lobectomy
spellingShingle Mary Lou Smith
“Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent
Epilepsy & Behavior Reports
Subjective memory complaint
Depression
Temporal lobectomy
title “Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent
title_full “Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent
title_fullStr “Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent
title_full_unstemmed “Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent
title_short “Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent
title_sort is this normal after such a major surgery memory complaint after right temporal lobe excision in an adolescent
topic Subjective memory complaint
Depression
Temporal lobectomy
url http://www.sciencedirect.com/science/article/pii/S2589986421000897
work_keys_str_mv AT marylousmith isthisnormalaftersuchamajorsurgerymemorycomplaintafterrighttemporallobeexcisioninanadolescent