Acute naming deficits following dominant temporal lobectomy: prediction by age at 1st risk for seizures.
Age at 1st risk for seizures may predict anomia following dominant anterior temporal lobectomy. We assessed confrontation naming before and 2 to 3 weeks after surgery in 45 right-handed patients grouped by side of focus and presence or absence of early (less than or equal to 5 years) risk factors. After left lobectomy, 6 of 10 (60%) patients with no early risks demonstrated significant decline (greater than or equal to 25%) in naming, but none of the patients with early risks showed this decline. After right lobectomy, there was no change. Cerebral representation of naming may be atypical in patients with early risks.
Stafiniak
P
P
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104.
Saykin
A J
AJ
Sperling
M R
MR
Kester
D B
DB
Robinson
L J
LJ
O'Connor
M J
MJ
Gur
R C
RC
D000375:Aging / Q000502:physiology*; D000849:Anomia / Q000209:etiology*; D004292:Dominance, Cerebral; D005500:Follow-Up Studies; D006801:Humans; D007802:Language; D011183:Postoperative Complications; D011379:Prognosis; D012307:Risk Factors; D012640:Seizures / Q000601:surgery*; D013702:Temporal Lobe / Q000601:surgery*