1996
DOI: 10.1001/archneur.1996.00550010090021
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Word-Finding Deficits Persist After Left Anterotemporal Lobectomy

Abstract: Significant, persisting worsening of word-finding difficulties is not a rare consequence of a left anterotemporal lobectomy, as suggested by previous studies. Differences between these results and those of previous studies may reflect differences in extent of surgical resection and/or differential sensitivity of psychometric measures of naming to word-finding problems. Information regarding extent, frequency, and predictors of word-finding declines may be used in counseling surgical candidates about the potent… Show more

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Cited by 144 publications
(105 citation statements)
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“…Univariate comparisons attributed this finding to differences on the CVLT and BNT. Between-groups effects on tasks of word-list learning and visual-confrontation naming have been reported previously, and our findings reflect a similar differential effect (9,10,(26)(27)(28)(29). However, the SRB analysis failed to reveal significant betweengroups differences on either LM or VR, although, as seen in Fig.…”
Section: Discussionsupporting
confidence: 89%
See 1 more Smart Citation
“…Univariate comparisons attributed this finding to differences on the CVLT and BNT. Between-groups effects on tasks of word-list learning and visual-confrontation naming have been reported previously, and our findings reflect a similar differential effect (9,10,(26)(27)(28)(29). However, the SRB analysis failed to reveal significant betweengroups differences on either LM or VR, although, as seen in Fig.…”
Section: Discussionsupporting
confidence: 89%
“…Exactly 40% of our left ATL patients experienced clinically meaningful decline on the BNT. This study highlights that clinically meaningful declines in visual confrontation naming are not uncommon after left ATL, but a rare phenomenon after right ATL in patients with IAP confirmed left language dominance (27,28).…”
Section: Discussionmentioning
confidence: 64%
“…Correct localization and lateralization of language functions in patients undergoing surgical treatment of epilepsy is of utmost importance, as patients who undergo surgery in the language-dominant hemisphere are known to suffer from word finding deficits. The possibility of such deficits may be predicted by fMRI with the SDTD task [26,48]. These and our results confirm the utility of fMRI in presurgical evaluation of patients with pharmacoresistant epilepsy and add to the growing body of evidence that fMRI can be used for presurgical language localization.…”
Section: Discussionsupporting
confidence: 83%
“…Memory risk is greatest following resection of the language dominant temporal lobe, and when the diseased temporal lobe to be resected still actively contributes to memory formation (i.e., high functional adequacy; Chelune, 1995). The risk of naming decline following left ATL is also well-established (Bell et al, 2000;Langfitt & Rausch, 1996;Saykin et al, 1995;Schwarz et al, 2005), and the role of the hippocampus in naming performance both pre-and postoperatively is increasingly appreciated (Hamberger et al, 2007;Seidenberg et al, 2005).…”
Section: Introductionmentioning
confidence: 99%