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Functional and Structural Measures for Determining Risk of Memory Change following Epilepsy Surgery

  • Chapter
Neuroimaging II

Part of the book series: Human Brain Function ((HBFA))

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Abstract

Modern surgical intervention for the relief of medically intractable seizures was introduced by Horsley in 1886. Since that time, surgical resection of epileptogenic brain tissue has become a widely accepted medical treatment option for patients with chronic, focal seizure disorders that are refractory to conventional anticonvulsant medications (Anderman, 1987; Engel, 1987). With advanced pre-operative screening procedures and methods that are available at specialized epilepsy surgery centers, it is estimated that about 80% of patients with intractable complex partial seizures of temporal origin can become free of seizures or experience marked reductions in seizure tendency following epilepsy surgery (Dreifuss, 1987; Engel, 1987; Ivnik, Sharbrough, & Laws, 1988; Olivier, 1988; Walczak et al., 1990). Although epilepsy surgery has proven efficacy in terms of increasing seizure control, it is not without attendant risks, especially for decrements in neurocognitive function (see reviews by Chelune, 1992; Dodrill, Hermann, Rausch, Chelune, & Oxbury, 1993). As noted by Lüders et al. (1987), the goal of epilepsy surgery is to maximally excise the epileptogenic tissue with a minimum of disruption of normal tissue, particularly eloquent tissue that is critical for full functional capacity. Thus, surgical success is defined in terms of a significant reduction in seizure tendency with maximal perseveration or relative improvement in cognitive function and quality of life (National Institutes of Health, 1990).

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Authors and Affiliations

  1. Departments of Psychiatry and Psychology and Neurology, The Cleveland Clinic Foundation, Cleveland, Ohio, 44195, USA

    Richard I. Naugle & Gordon J. Chelune

  2. Department of Neurology, The Cleveland Clinic Foundation, Cleveland, Ohio, 44195, USA

    Eric B. Geller

Authors
  1. Richard I. Naugle
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  2. Gordon J. Chelune
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  3. Eric B. Geller
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Editor information

Editors and Affiliations

  1. Brigham Young University, Provo, Utah, USA

    Erin D. Bigler

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© 1996 Springer Science+Business Media New York

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Naugle, R.I., Chelune, G.J., Geller, E.B. (1996). Functional and Structural Measures for Determining Risk of Memory Change following Epilepsy Surgery. In: Bigler, E.D. (eds) Neuroimaging II. Human Brain Function. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1769-0_8

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  • DOI: https://doi.org/10.1007/978-1-4899-1769-0_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1771-3

  • Online ISBN: 978-1-4899-1769-0

  • eBook Packages: Springer Book Archive

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