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Recovery after ATL can take several weeks to months. Anti-seizure medications will be continued for several months after ATL. As it is an open surgery it takes time for the brain to heal. [10] Speech therapy, occupational therapy, etc. can help recovery. About 90% of people experience an improvement in seizures after temporal lobectomy.
He removed his medial temporal lobe bilaterally by doing a temporal lobectomy. His epilepsy did improve, but Molaison lost the ability to form new long-term memories (anterograde amnesia). He exhibited normal short-term memory ability. If he was given a list of words, he would forget them in about a minute's time.
In a prospective randomized controlled trial comparing anterior temporal lobectomy to medical therapy for pharmacoresistant temporal lobe epilepsy, surgery was more effective than medical therapy with 1-year seizure free outcome occurring in 58% of persons with anterior temporal lobectomy compared to 8% of persons with drug treatment. [5]
Lobectomy means surgical excision of a lobe. This may refer to a lobe of the lung [ 1 ] (also simply called a lobectomy ), a lobe of the thyroid ( hemithyroidectomy ), a lobe of the brain (as in anterior temporal lobectomy ), or a lobe of the liver ( hepatectomy ).
Cordotomy is performed as for patients with severe intractable pain, usually but not always due to cancer.Being irreversible and relatively invasive, cordotomy is used exclusively for pain where treatment to level 3 of the World Health Organization pain ladder (i.e., use of major opiates such as morphine) has proved inadequate.
This is why after a stroke people have a chance of developing cognitive deficits that result in anterograde amnesia, since strokes can involve the temporal lobe in the temporal cortex, and the temporal cortex houses the hippocampus. Anterograde amnesia can be the first clinical sign that Alzheimer's disease is developing within the brain ...
In a specific case studied by Williams et al. 2008, a patient who received a left temporal lobectomy in order to treat epilepsy was diagnosed with musical hallucinations post-surgery. The patient also had multiple additional risk factors that could have accounted for the hallucinations including mild neuropsychiatric dysfunction and tinnitus ...
Stroke is the most common cause of seizures in the elderly population. [27] Post-stroke seizures occur in 5-7% of those with ischemic strokes. [28] It is higher in those who experienced brain bleeds, with 10-16% risk in those patients. [28]