Naming ability after tailored left temporal resection with extraoperative language mapping: Increased risk of decline with later epilepsy onset age
Naming ability after tailored left temporal resection with extraoperative language mapping: Increased risk of decline with later epilepsy onset age
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DOI：
10.1016/j.yebeh.2005.05.016
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发表时间：
2005-09-01
影响因子：
2.6
通讯作者：
Gates, JR
中科院分区：
文献类型：
--
作者：
Davies, KG;Risse, GL;Gates, JR
左半球标准颞叶切除术存在术后命名能力下降的风险，尤其是癫痫发作年龄较晚/没有海马硬化的患者。语言映射已在一些中心常规进行，以尽量减少术后原发性语言障碍，但其对命名性能变化的影响尚未探讨。本研究检查了24例非病灶性癫痫患者的命名结果，这些患者在手术外语言映射后接受了左颞叶切除术。波士顿神经元测试（BNT）评分的平均下降为7.8，13例（54%）患者的BNT下降幅度大于可靠变化指数。简单的相关性发现BNT评分下降之间的显着关系：发病年龄晚，较高的术前BNT评分，切除孤立的语言网站。多元回归分析显示，发病年龄是BNT下降的最佳预测因素。尽管语言映射显示早发患者的命名能力稳定，但晚发患者仍有下降的风险。(c)2005年爱思唯尔公司All rights reserved.
Standard temporal resection in the left hemisphere carries the risk of postoperative naming ability decline, especially with later epilepsy onset age/absence of hippocampal sclerosis. Language mapping has been performed routinely at some centers to minimize postoperative primary language impairment, but its effect oil changes in naming performance has not been explored. This study examined naming outcome in 24 patients with nonlesional epilepsy who had left temporal resection after extraoperative language mapping. The mean decline in Boston Naming Test (BNT) score was 7.8, and 13 (54%) patients had a BNT decline greater than the Reliable Change Index. Simple correlations found significant relationships between BNT score decline and: later onset age, higher preoperative BNT score, and resection of isolated language sites. A multiple regression analysis showed that onset age was the best predictor of BNT decline. Although naming ability in patients with early onset age is stable with language mapping, there is still a risk of decline for those with later onset age. (c) 2005 Elsevier Inc. All rights reserved.