Amnesia after unilateral temporal lobectomy: a case report.
We report a mixed handed (L > R) patient with exclusive right cerebral language representation who developed a permanent anterograde amnestic syndrome after right anterotemporal lobectomy. Preoperative neuropsychological performance consisted of impaired verbal memory and normal nonverbal memory. Wada memory performance was asymmetrical for objects presented soon after amobarbital injection in conjunction with no memory asymmetry for items presented later in the Wada evaluation. Pre- and postoperative magnetic resonance imaging (MRI) scans showed no structural lesions; however, postoperative MRI hippocampal volume measurements suggested decreased hippocampal volume for the nonresected temporal lobe. These results confirm the risk of anterograde amnesia after unilateral temporal lobectomy and demonstrate that baseline neuropsychological testing may falsely literalize material-specific memory functions in patients with atypical cerebral language dominance.
Loring
D W
DW
Department of Neurology, Medical College of Georgia, Augusta 30912-3275.
Hermann
B P
BP
Meador
K J
KJ
Lee
G P
GP
Gallagher
B B
BB
King
D W
DW
Murro
A M
AM
Smith
J R
JR
Wyler
A R
AR
D000328:Adult; D000654:Amobarbital; D001037:Aphasia / Q000139:chemically induced; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology / Q000601:surgery*; D007839:Functional Laterality / Q000502:physiology*; D006624:Hippocampus / Q000033:anatomy & histology / Q000503:physiopathology; D006801:Humans; D007802:Language; D008279:Magnetic Resonance Imaging; D008297:Male; D008569:Memory Disorders / Q000175:diagnosis / Q000209:etiology*; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013702:Temporal Lobe / Q000033:anatomy & histology / Q000503:physiopathology / Q000601:surgery*
D000654:Amobarbital