Potential role of a cognitive rehabilitation program following left temporal lobe epilepsy surgery

ABSTRACT Research into memory and epilepsy has focused on measuring problems and exploring causes with limited attention directed at the role of neuropsychological rehabilitation in alleviating post-operative memory difficulties. Objectives To assess the effects of a memory rehabilitation program in...

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Published in:Arquivos de neuro-psiquiatria 2017-06, Vol.75 (6), p.359-365
Main Authors: Geraldi, Camila de Vasconcelos, Escorsi-Rosset, Sara, Thompson, Pamela, Silva, Ana C. Gargaro, Sakamoto, Américo Ceiki
Format: Article
Language:English
Subjects:
Adult
Anterior Temporal Lobectomy - rehabilitation
Brain Mapping
Cognition Disorders - etiology
Cognition Disorders - rehabilitation
Cognitive Behavioral Therapy - methods
Educational Status
epilepsia do lobo temporal
Epilepsy, Temporal Lobe - surgery
Female
Humans
lobectomia temporal anterior
Magnetic Resonance Imaging - methods
Male
memória
Neuropsychological Tests
NEUROSCIENCES
PSYCHIATRY
reabilitação neurológica
Signal Processing, Computer-Assisted
Treatment Outcome
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Summary:ABSTRACT Research into memory and epilepsy has focused on measuring problems and exploring causes with limited attention directed at the role of neuropsychological rehabilitation in alleviating post-operative memory difficulties. Objectives To assess the effects of a memory rehabilitation program in patients with left temporal lobe epilepsy following surgery. Methods Twenty-four patients agreed to participate and 18 completed the study; nine received memory rehabilitation while nine had no input and were designated as controls. Verbal learning efficiency, naming abilities, memory subjective ratings, ecological activity measures and a language fMRI paradigm were used as outcome measures. Results Improved verbal learning and naming test performance, increase in memory strategy use and improved self-perception were observed following the rehabilitation. Changes in fMRI activation patterns were seen in the rehabilitation group over the long term. Conclusion The findings support the potential role of a cognitive rehabilitation program following left temporal lobe surgery.
ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20170050