Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/200415
Type: Artigo de periódico
Title: Brain Plasticity For Verbal And Visual Memories In Patients With Mesial Temporal Lobe Epilepsy And Hippocampal Sclerosis: An Fmri Study.
Author: Alessio, Andréa
Pereira, Fabricio R S
Sercheli, Maurício S
Rondina, Jane M
Ozelo, Helka B
Bilevicius, Elisabeth
Pedro, Tatiane
Covolan, Roberto J M
Damasceno, Benito P
Cendes, Fernando
Abstract: We aimed to identify the brain areas involved in verbal and visual memory processing in normal controls and patients with unilateral mesial temporal lobe epilepsy (MTLE) associated with unilateral hippocampal sclerosis (HS) by means of functional magnetic resonance imaging (fMRI). The sample comprised nine normal controls, eight patients with right MTLE, and nine patients with left MTLE. All subjects underwent fMRI with verbal and visual memory paradigms, consisting of encoding and immediate recall of 17 abstract words and 17 abstract drawings. A complex network including parietal, temporal, and frontal cortices seems to be involved in verbal memory encoding and retrieval in normal controls. Although similar areas of activation were identified in both patient groups, the extension of such activations was larger in the left-HS group. Patients with left HS also tended to exhibit more bilateral or right lateralized encoding related activations. This finding suggests a functional reorganization of verbal memory processing areas in these patients due to the failure of left MTL system. As regards visual memory encoding and retrieval, our findings support the hypothesis of a more diffuse and bilateral representation of this cognitive function in the brain. Compared to normal controls, encoding in the left-HS group recruited more widespread cortical areas, which were even more widespread in the right-HS group probably to compensate for their right mesial temporal dysfunction. In contrast, the right-HS group exhibited fewer activated areas during immediate recall than the other two groups, probably related to their greater difficulty in dealing with visual memory content.
Subject: Adult
Atrophy
Brain Mapping
Cerebral Cortex
Epilepsy, Temporal Lobe
Female
Hippocampus
Humans
Magnetic Resonance Imaging
Male
Memory, Short-term
Middle Aged
Neuronal Plasticity
Neuropsychological Tests
Sclerosis
Verbal Learning
Visual Perception
Young Adult
Citation: Human Brain Mapping. v. 34, n. 1, p. 186-99, 2013-Jan.
Rights: fechado
Identifier DOI: 10.1002/hbm.21432
Address: http://www.ncbi.nlm.nih.gov/pubmed/22038783
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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