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Neurocognitive function in children after anterior temporal lobectomy with amygdalohippocampectomy

 Yun-Jin Lee  ;  Hoon-Chul Kang  ;  Heung Dong Kim  ;  Dong-Seok Kim  ;  Kyu-Won Shim  ;  Soyong Eom  ;  Joon Soo Lee 
 Pediatric Neurology, Vol.52(1) : 88-93, 2015 
Journal Title
 Pediatric Neurology 
Issue Date
BACKGROUND: We assessed the postoperative neurocognitive function after temporal lobectomy in children with temporal lobe epilepsy. METHODS: This was a retrospective analysis of the data of 20 patients with Engel's class I or II outcomes after anterior temporal lobectomy with amygdalohippocampectomy between 2005 and 2008. Twenty children underwent resection of either dominant (n = 8) or nondominant (n = 12) temporal lobes, and their median age at surgery was 12.8 ± 3.2 years. We serially assessed intelligence and memory function as measured by the Korean-Wechsler Scales of Intelligence and Rey-Kim Memory test both before and after surgery. RESULTS: Intelligence quotient (IQ) and memory quotient scores remained stable during a 3.6-year median follow-up in these children after the surgery. There was no decrease of IQ or memory quotient scores in either the dominant or non-dominant hemisphere groups. Later onset of epilepsy, a shorter epilepsy duration, a smaller number of antiepileptic drugs, and postoperative seizure-free outcomes were significant good predictors of the postoperative IQ. CONCLUSION: Temporal lobectomy in children did not provoke a significant decline in intelligence or memory function. Early surgical treatment in children with intractable seizures of temporal lobe origin may result in better neurocognitive outcomes.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
5. Research Institutes (연구소) > Epilepsy Research Institute (뇌전증연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
강훈철(Kang, Hoon Chul) ORCID logo https://orcid.org/0000-0002-3659-8847
김동석(Kim, Dong Seok)
김흥동(Kim, Heung Dong) ORCID logo https://orcid.org/0000-0002-8031-7336
심규원(Shim, Kyu Won) ORCID logo https://orcid.org/0000-0002-9441-7354
엄소용(Eom, So Yong)
이준수(Lee, Joon Soo) ORCID logo https://orcid.org/0000-0001-9036-9343
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