Smith Mary Lou
University of Toronto, The Hospital for Sick Children, Toronto ON M5G 1X8, Canada.
Epilepsy Behav Rep. 2021 Dec 8;18:100515. doi: 10.1016/j.ebr.2021.100515. eCollection 2022.
Memory deficits are commonly associated with temporal-lobe epilepsy. Memory may worsen after surgical resection of the temporal lobe. Risk factors for decline are structural integrity of the mesial temporal lobe structures and intact pre-operative memory. Subjective memory complaints are influenced by depression or other psychological disorders. A 16-year-old girl underwent resection from the right lateral and medial temporal lobe and after surgery she complained of a significant memory impairment, which was unexpected given her baseline assessment. Before undertaking a neuropsychological assessment, she was referred for a psychiatric consultation which revealed depression, leading to treatment with anditdepressant medication. Over time she also admitted to severe headaches and inadequate sleep. With these issues addressed, assessment indicated memory performance had not changed relative to her preoperative baseline with stability or improvement in memory across longitudinal assessments. This case illustrates the contribution of mood state and other potential factors in contributing to subjective memory complaints.
记忆缺陷通常与颞叶癫痫有关。颞叶手术切除后记忆可能会恶化。记忆衰退的风险因素是内侧颞叶结构的结构完整性和术前完整的记忆。主观记忆主诉受抑郁或其他心理障碍的影响。一名16岁女孩接受了右侧外侧和内侧颞叶切除术，术后她抱怨出现了严重的记忆障碍，鉴于她的基线评估，这是出乎意料的。在进行神经心理学评估之前，她被转介进行精神科咨询，结果发现患有抑郁症，随后接受了抗抑郁药物治疗。随着时间的推移，她还承认有严重的头痛和睡眠不足。解决这些问题后，评估表明她的记忆表现相对于术前基线没有变化，在纵向评估中记忆稳定或有所改善。这个案例说明了情绪状态和其他潜在因素对主观记忆主诉的影响。
