McGlone J, Wands K
University Hospital, Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada.
Cortex. 1991 Mar;27(1):19-28. doi: 10.1016/s0010-9452(13)80265-1.
Thirty-one surgical candidates with a unilateral temporal lobe seizure focus, 72 temporal lobectomy patients, 63 non-epileptic controls and their relatives, respectively, filled in the Memory Observation Questionnaire. The two patient groups rated their current memory similarly, but significantly worse than controls rated their own memory. Memory status was judged to be improved approximately three years after a temporal lobectomy. The relatives' ratings agreed with those of the patients. Thus patients who underwent surgical resection for relief of temporal lobe epilepsy did not report further subjective deterioration in memory compared to pre-operative cases. Laterality of excision did not affect self-report of general memory function. Nevertheless, a brief Verbal memory subscale yielded the expected material specific pattern after unilateral temporal lobectomy.
31名患有单侧颞叶癫痫病灶的手术候选者、72名颞叶切除术患者、63名非癫痫对照者及其亲属分别填写了记忆观察问卷。两组患者对自己当前记忆的评分相似，但明显低于对照者对自己记忆的评分。颞叶切除术后约三年，记忆状况被判定有所改善。亲属的评分与患者的评分一致。因此，与术前相比，接受手术切除以缓解颞叶癫痫的患者并未报告记忆方面进一步的主观恶化。切除的侧别不影响一般记忆功能的自我报告。然而，单侧颞叶切除术后，简短的言语记忆子量表呈现出预期的材料特异性模式。
