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Career Development Symposium - American Neurological Association

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Category-Related Deficits in TLE<br />

� Our work has shown that presurgical temporal<br />

lobe epilepsy (TLE) patients often exhibit<br />

category-related deficits involving either<br />

naming or recognition.<br />

� TLE patients with a language dominant<br />

seizure focus often exhibit at least mild<br />

category-related naming deficits (for famous<br />

faces, landmarks, and animals).<br />

� TLE patients with a nondominant seizure<br />

focus often exhibit at least mild categoryrelated<br />

recognition deficits (same<br />

categories).<br />

(See articles by Drane and colleagues in Neuropsychologia, 2008<br />

&Cortex, 2009. Also some abstracts)<br />

Category-Related Deficits in TLE<br />

� Many of these TLE patients decline<br />

significantly on these tasks post-surgically.<br />

� Post-surgical TLE patients frequently exhibit<br />

moderate or greater deficits on these measures<br />

in accordance with the previously p y specified p<br />

pattern. .<br />

� Post-operative decline appears to be mediated<br />

by disease-related factors.<br />

○ Age of Onset<br />

○ Extent of Damage (e.g., mesial temporal<br />

sclerosis vs. normal vs. more widespread<br />

damage visualized on MRI)<br />

Famous Faces Naming and Object<br />

Recognition Subtest<br />

9/6/2011<br />

50<br />

4

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