Stylianos Gatzonis
Greece
Case Report
Can Neuropsychological Rehabilitation Determine the Candidacy for Epilepsy Surgery? Implications for Cognitive Reserve Theorizing
Author(s): Panayiotis Patrikelis, Giuliana Lucci, Athanasia Alexoudi, Mary Kosmidis, Anna Siatouni, Anastasia Verentzioti, Damianos E Sakas and Stylianos GatzonisPanayiotis Patrikelis, Giuliana Lucci, Athanasia Alexoudi, Mary Kosmidis, Anna Siatouni, Anastasia Verentzioti, Damianos E Sakas and Stylianos Gatzonis
Objective: The purpose of this study was to explore the effectiveness of a neuro-optimization intervention to determine the suitability for surgery in a patient suffering from left medial temporal lobe epilepsy (MTLE) and hippocampal sclerosis (HS). The rehabilitation program was aimed at amplifying cognitive resources and improving memory functioning, particularly in the non-dominant healthy hemisphere.
Method: A preoperative neuro-optimization program, inspired by the functional reserve model and the right hemisphere’s verbal processing potential, was adopted. This neuro-optimization program targeted global cognitive and metacognitive enhancement with an emphasis on memory functions of the right temporal lobe, i.e., the functional upgrade of the healthy right hippocampus and related structures to assist memory after surgery.
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