title: Remediation of a naming deficit following left temporal lobe epilepsy surgery.
abstract: 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.
authors.affiliation: a Department of Psychiatry , University of Arkansas for Medical Sciences , Little Rock , Arkansas.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Gess
authors.forename: Megan
authors.initials: M
authors.lastname: Denham
authors.forename: Page B
authors.initials: PB
authors.lastname: Pennell
authors.forename: Robert E
authors.initials: RE
authors.lastname: Gross
authors.forename: Anthony Y
authors.initials: AY
authors.lastname: Stringer
mesh_terms: D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D008569:Memory Disorders / Q000209:etiology* / Q000534:rehabilitation*; D008875:Middle Aged; D009275:Names; D009483:Neuropsychological Tests; D012073:Remedial Teaching
keywords: cognitive remediation; naming; neuropsychology; surgery; temporal lobe epilepsy