scholarly journals Default Mode Network Ventral Hub Connectivity Associated with Memory Impairment in Temporal Lobe Epilepsy Surgery

2020 ◽  
Author(s):  
Elliot G. Neal ◽  
Long Di ◽  
You Jeong Park ◽  
Austin Finch ◽  
Ferdinand Korneli ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Epilepsy Surgery ◽  
Default Mode Network ◽  
Memory Task ◽  
Network Connectivity ◽  
Default Mode ◽  
Non Invasive ◽  
Before And After ◽  
The Relationship

AbstractIn patients undergoing surgery for intractable temporal lobe epilepsy, the relationship between the default mode network and patients’ neurocognitive outcome remains unclear. The objective of this study is to employ non-invasive network mapping to identify the relationship between subdivisions of the default mode network and neurocognitive function before and after epilepsy surgery in patients with temporal lobe epilepsy.Twenty-seven medically patients with medically refractory temporal lobe epilepsy were prospectively enrolled and received resting state functional MRI and neuropsychological testing both pre- and post-operatively. Connectivity within the default mode network was modeled and average connectivity within the networks was calculated.Higher pre-operative connectivity in the ventral default mode network hub correlated with impaired baseline performance in a visual memory task. Post-operatively, a decrease in ventral but not dorsal default mode network connectivity was correlated with a deterioration of verbal and logical memory after surgery.Overall, higher connectivity in the ventral default mode network hub was associated with poor memory function in patients with temporal lobe epilepsy both before and after temporal lobe surgery. Pre-operatively, higher ventral connectivity was associated with worse visual function. Post-operatively, decreased connectivity of the ventral and dorsal default mode network was correlated with a greater decrease in logical and verbal memory when compared with the pre-operation baseline. An imbalance in default mode network connectivity towards the ventral stream and more widespread epilepsy networks may be used to predict memory impairments following surgical intervention and may lead to more tailored surgical decision making based on this non-invasive network modeling.

Default mode network connectivity indicates episodic memory capacity in mesial temporal lobe epilepsy

Epilepsia ◽  
2013 ◽  
Vol 54 (5) ◽  
pp. 809-818 ◽  
Author(s):  
Cornelia McCormick ◽  
Maher Quraan ◽  
Melanie Cohn ◽  
Taufik A. Valiante ◽  
Mary Pat McAndrews
Keyword(s):  
Episodic Memory ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Default Mode Network ◽  
Network Connectivity ◽  
Memory Capacity ◽  
Mesial Temporal Lobe Epilepsy ◽  
Default Mode ◽  
Mesial Temporal Lobe

scholarly journals Default mode network deactivation in pediatric temporal lobe epilepsy: Relationship to a working memory task and executive function tests

2019 ◽  
Vol 94 ◽  
pp. 124-130 ◽  
Author(s):  
Temitayo O. Oyegbile ◽  
John W. VanMeter ◽  
Gholam K. Motamedi ◽  
William L. Bell ◽  
William D. Gaillard ◽  
...  
Keyword(s):  
Working Memory ◽  
Executive Function ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Default Mode Network ◽  
Memory Task ◽  
Default Mode ◽  
Function Tests

PSYCHOSOCIAL STATUS BEFORE AND AFTER TEMPORAL LOBE EPILEPSY SURGERY

Neurosurgery ◽  
2008 ◽  
Vol 62 (5) ◽  
pp. 1071-1079 ◽  
Author(s):  
Taner Tanriverdi ◽  
Nicole Poulin ◽  
Andre Olivier
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Epilepsy Surgery ◽  
Psychosocial Status ◽  
Before And After

scholarly journals Abnormal default-mode network homogeneity in patients with temporal lobe epilepsy

Medicine ◽  
2018 ◽  
Vol 97 (26) ◽  
pp. e11239 ◽  
Author(s):  
Yujun Gao ◽  
Jinou Zheng ◽  
Yaping Li ◽  
Danni Guo ◽  
Mingli Wang ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Default Mode Network ◽  
Default Mode

scholarly journals Effect of lateralized temporal lobe epilepsy on the default mode network

2012 ◽  
Vol 25 (3) ◽  
pp. 350-357 ◽  
Author(s):  
Zulfi Haneef ◽  
Agatha Lenartowicz ◽  
Hsiang J. Yeh ◽  
Jerome Engel ◽  
John M. Stern
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Default Mode Network ◽  
Default Mode

scholarly journals Relationships between default-mode network connectivity, medial temporal lobe structure, and age-related memory deficits

2015 ◽  
Vol 36 (1) ◽  
pp. 265-272 ◽  
Author(s):  
Andrew M. Ward ◽  
Elizabeth C. Mormino ◽  
Willem Huijbers ◽  
Aaron P. Schultz ◽  
Trey Hedden ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Default Mode Network ◽  
Medial Temporal Lobe ◽  
Network Connectivity ◽  
Memory Deficits ◽  
Default Mode ◽  
Age Related

scholarly journals The Default Mode Network In Patient with Temporal Lobe Epilepsy (TLE): A Resting State fMRI Study

2020 ◽  
Vol 4 (1) ◽  
pp. 23-30
Author(s):  
Shuhada J.M ◽  
Husbani M.A.R ◽  
A I A Hamid ◽  
Muhammad
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Default Mode Network ◽  
Resting State ◽  
Healthy Subjects ◽  
Brain Activation ◽  
Resting State Fmri ◽  
Default Mode ◽  
Parietal Lobes ◽  
The Brain

The default mode network (DMN) is involved in conscious, resting state cognition and is thought to be affected in TLE where seizures cause impairment of consciousness. The study aimed to evaluate the brain activation of the DMN regions in both temporal lobe epilepsy (TLE) patients  and healthy subjects by using resting-state functional Magnetic Resonance Imaging (rsfMRI) technique. A same number of fourteen participants with age and gender matched for the healthy subjects and TLE patients were selected with the average age is 36.9 and 37.0 years old, respectively. The rsfMRI imaging protocol was executed using a 3-T Phillips Achieva MRI scanner at the Radiology Department, Hospital Universiti Sains Malaysia (HUSM). For healthy subjects, the brain activation cluster in bilateral superior parietal lobes (SPL),precuneus (PRE), supramarginal gyrus (SMG) and inferior parietal lobes (IPL) were found higher than TLE patients. While for TLE patients displays higher activation clusters in bilateral MFG, STG, and ANG. The result from  random effects (RFX) on  two-sample t-tests thresholded at p = 0.001 revealed that the TLE patients display significantly higher activations on the bilateral superior frontal gyrus (SFG), left SMG, left middle frontal gyrus (MFG) and right IPL. However for the core-region of DMN such as  bilateral precuneus, left MFG, bilateral STG and bilateral IPL were significantly activated but the number of voxels survives are substantially smaller than other regions such as bilateral SFG. The findings suggested that TLE patients may suffer from an impairment in some DMN region, which may cause certain neuropsychological and cognitive degradation.       Keywords: resting-state fMRI, temporal lobe epilepsy, brain activation, two-sample t-tests

scholarly journals Language network reorganization before and after temporal lobe epilepsy surgery

2020 ◽  
pp. 1-9
Author(s):  
Olivia Foesleitner ◽  
Benjamin Sigl ◽  
Victor Schmidbauer ◽  
Karl-Heinz Nenning ◽  
Ekaterina Pataraia ◽  
...  
Keyword(s):  
Functional Connectivity ◽  
Network Analysis ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Epilepsy Surgery ◽  
Verbal Fluency ◽  
Extent Of Resection ◽  
Language Dominance ◽  
Before And After ◽  
Left And Right

OBJECTIVEEpilepsy surgery is the recommended treatment option for patients with drug-resistant temporal lobe epilepsy (TLE). This method offers a good chance of seizure freedom but carries a considerable risk of postoperative language impairment. The extremely variable neurocognitive profiles in surgical epilepsy patients cannot be fully explained by extent of resection, fiber integrity, or current task-based functional MRI (fMRI). In this study, the authors aimed to investigate pathology- and surgery-triggered language organization in TLE by using fMRI activation and network analysis as well as considering structural and neuropsychological measures.METHODSTwenty-eight patients with unilateral TLE (16 right, 12 left) underwent T1-weighted imaging, diffusion tensor imaging, and task-based language fMRI pre- and postoperatively (n = 15 anterior temporal lobectomy, n = 11 selective amygdalohippocampectomy, n = 2 focal resection). Twenty-two healthy subjects served as the control cohort. Functional connectivity, activation maps, and laterality indices for language dominance were analyzed from fMRI data. Postoperative fractional anisotropy values of 7 major tracts were calculated. Naming, semantic, and phonematic verbal fluency scores before and after surgery were correlated with imaging parameters.RESULTSfMRI network analysis revealed widespread, bihemispheric alterations in language architecture that were not captured by activation analysis. These network changes were found preoperatively and proceeded after surgery with characteristic patterns in the left and right TLEs. Ipsilesional fronto-temporal connectivity decreased in both left and right TLE. In left TLE specifically, preoperative atypical language dominance predicted better postoperative verbal fluency and naming function. In right TLE, left frontal language dominance correlated with good semantic verbal fluency before and after surgery, and left fronto-temporal language laterality predicted good naming outcome. Ongoing seizures after surgery (Engel classes ID–IV) were associated with naming deterioration irrespective of seizure side. Functional findings were not explained by the extent of resection or integrity of major white matter tracts.CONCLUSIONSFunctional connectivity analysis contributes unique insight into bihemispheric remodeling processes of language networks after epilepsy surgery, with characteristic findings in left and right TLE. Presurgical contralateral language recruitment is associated with better postsurgical language outcome in left and right TLE.

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