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Results for “Cerebral Decortication”

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At least 73 records · Page 4Linked to original sources
PubMed1998

Hippocampal cell loss and gliosis: relationship to preoperative and postoperative memory function.

The authors examined the relationship between neuronal densities, glial cell densities, and the glial cell/neuron ratio in the CA1 and CA4 hippocampal subfields and preoperative and postoperative memory function in 47 patients who had undergone a temporal lobectomy (23 right, RTL; 24 left, LTL) for the relief of medically intractable epilepsy. The LTL group performed more poorly than the RTL group on a list learning and story recall task, preoperatively and postoperatively. Both the RTL and LTL groups performed more poorly on the story recall task postoperatively. In the LTL group, neuronal densities in the CA1 subfield were significantly correlated with the preoperative scores on the immediate (r = 0.53, p < 0.01) and delayed (r = 0.53, p < 0.01) recall of the story. There were no significant correlations in the LTL group between the CA1 and CA4 cell counts and Verbal IQ or scores on a measure of naming ability. None of the cell density measures in the CA1 and CA4 subfields were significantly correlated with the preoperative neuropsychological test scores in the RTL group. Postoperative decline in verbal recall was associated with the excision of a relatively intact left hippocampus, with high neuronal and low glial cell densities in the CA1 subfield. The excision of a relatively intact right hippocampus was also associated with a postoperative deterioration in verbal recall.

Adult↗
PubMedDate not supplied

Pavlov's position on the effects of decortication on conditional reflexes.

This paper examined D. Joravsky's (1989) hypothesis that I.P. Pavlov dogmatically refused to acknowledge that classical conditioning can be mediated by subcortical regions of the large cerebral hemispheres. Decortication literature from 1901 to 1936 was reviewed. The early studies available to Pavlov, who died in 1936, showed that decortication does not allow the establishment of new or retaining of old conditional reflexes (CRs). G.P. Zelenyĭ's later experiments(1930) suggested that the establishment of primitive CRs in decorticated dogs was possible. Pavlov never denied this possibility but cautioned that Zelenyĭ's experiments could have been methodologically flawed. Although Joravsky's original hypothesis on Pavlov's position on the relation between decortication and the establishment of CRs is by and large accepted, it must be stressed that Pavlov's theory of higher nervous activity was primarily concerned with the function of the brain in the higher organism's struggle for existence. Within this context the cortical, rather than subcortical, processes play the decisive role in the organism's adaptation to the changing external environment.

Animals↗
PubMed1997

Use of the intracarotid amobarbital procedure in the evaluation of memory.

The intracarotid amobarbital procedure (IAP) involves the temporary inactivation of one cerebral hemisphere by the injection of sodium amobarbital, which allows independent testing of the contralateral hemisphere. Initially used for lateralization of language, IAP later found a role in the evaluation of memory function in patients with intractable temporal lobe epilepsy being considered for resective surgery. IAP technique varies widely across centers, but, in general, memory is assessed by presenting the patient with a number of items during the period of hemispheric inactivation and testing recall or recognition of these items after the effect of the drug has worn off. Because the medial temporal lobe is not directly perfused by the internal carotid artery, concerns have been raised about the ability of the IAP to test hippocampal memory function. Consequently, a variety of selective procedures have been devised. Findings on both intracranial EEG recordings and pathologic and neuroimaging studies support the association of IAP memory results with hippocampal function. The IAP memory test was originally designed to predict the risk for development of global amnesia following unilateral temporal lobectomy. More recently, it also has been used as an adjunct in lateralizing the seizure focus and for predicting postoperative selective memory deficits and seizure outcome.

Adult↗