Remediation of a naming deficit following left temporal lobe epilepsy surgery

Dysnomia is associated with temporal lobe epilepsy and may include a deficit in recalling the names of familiar people. The deficit can worsen following surgery to relieve refractory seizures. The following is a case report comparing implicit (errorless learning) and explicit (rote rehearsal) approa...

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Bibliographic Details
Published in:Applied neuropsychology. Adult 2014-01, Vol.21 (3), p.231-237
Main Authors: Gess, Jennifer L, Denham, Megan, Pennell, Page B, Gross, Robert E, Stringer, Anthony Y
Format: Article
Language:English
Subjects:
Epilepsy, Temporal Lobe - complications
Epilepsy, Temporal Lobe - surgery
Female
Humans
Memory Disorders - etiology
Memory Disorders - rehabilitation
Middle Aged
Names
Neuropsychological Tests
Remedial Teaching
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Summary:Dysnomia is associated with temporal lobe epilepsy and may include a deficit in recalling the names of familiar people. The deficit can worsen following surgery to relieve refractory seizures. The following is a case report comparing implicit (errorless learning) and explicit (rote rehearsal) approaches to retraining face-name associations in a 52-year-old woman who was status post-amygdalo-hippocampectomy for refractory complex partial seizures. Although both approaches initially improved performance above baseline, only errorless learning resulted in stable gains during a 10-min delay and at 1-week follow-up. Initial improvements in naming with rote rehearsal were not maintained even during the 10-min delay. In patients with severe memory impairment and dysnomia, errorless learning may offer a viable rehabilitation strategy for improving naming performance.
ISSN:2327-9095
2327-9109
DOI:10.1080/09084282.2013.791826