Short-term psychological outcome of anterior temporal lobectomy
- 1 September 1989
- journal article
- research article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 71 (3), 327-334
- https://doi.org/10.3171/jns.1989.71.3.0327
Abstract
✓ The purpose of this investigation was to determine the short-term behavioral and emotional effects of anterior temporal lobectomy (ATL). Forty-one patients who underwent ATL were administered a standardized measure of emotional adjustment (Mental Health Inventory) on four occasions: preoperatively, and 1,3, and 6 months postoperatively. Patients who were rendered totally seizure-free by ATL showed significant improvements on multiple indices of psychological distress and psychological well-being, improvement that continued up to 3 months after surgery and remained constant at 6 months postoperatively. Patients who were significantly improved (> 75% reduction in seizure frequency) but continued to experience some seizure activity showed no significant improvements in behavioral or emotional adjustment. The clinical and theoretical significance of these findings is discussed, and it is suggested that functional outcome (for instance, mental health) following ATL may be best predicted by a binary seizure o...Keywords
This publication has 19 references indexed in Scilit:
- Stereotaxic Approach to EpilepsyPublished by S. Karger AG ,2015
- Temporal lobectomy for partial complex seizuresNeurology, 1986
- Type I complex partial seizures of hippocampal originNeurology, 1985
- Surgical management of epilepsy using epidural recordings to localize the seizure focusJournal of Neurosurgery, 1984
- Behavioral and personality correlates of epilepsy: A review, methodological critique, and conceptual model.Psychological Bulletin, 1984
- Characteristics of a Pure Culture of Frontal Lobe EpilepsyEpilepsia, 1983
- Psychological Status Related to Surgical Control of Temporal Lobe SeizuresEpilepsia, 1982
- Mental aspects of temporal lobe epilepsy. Follow-up of 74 patients after resection of a temporal lobe.Journal of Neurology, Neurosurgery & Psychiatry, 1979
- Temporal lobe epilepsyActa Neurochirurgica, 1977
- British Medical AssociationBMJ, 1886