The intracarotid amobarbital procedure (Wada test) with two protocols combined, Montreal and Seattle

Arquivos de Neuro-Psiquiatria

Paulo J. M. Leite¹  Rosana Pereira¹  Diogo F. Almeida¹  Marcos C. Sandmann¹  Paulo César Souza¹  Ronei Sandrinni¹  Jorge Kaneguzuko¹  Paulo Roberto M. De Bittencourt¹ 

[1] ,Hospital Nossa Senhora das GraçasCuritiba

关键词: amobarbital (Wada) test;    epilepsy surgery;    language;    memory;    teste do amobarbital (Wada);    cirurgia de epilepsia;    linguagem;    memória;   

DOI  :  10.1590/S0004-282X1997000200002

来源: SciELO

【 摘 要 】

The intracarotid amobarbital procedure was carried out in 8 male and 7 female candidates to temporal lobectomy, and a female candidate to frontal lesionectomy, aged 18-50 (mean 32.5) years. Language and memory were tested after injection in each hemisphere. Both were measured by the Montreal procedure. In 9 patients language and memory were evaluated with the Seattle procedure too. In 12 patients the left hemisphere was dominant for language; three had bilateral dominance. In I patient the Seattle procedure demonstrated the dominant hemisphere by relatively slowness of speech during the drug effect in the left hemisphere. Memory was defined to be in the left hemisphere in 12 patients, in the right in 2, bilateral in 1 and in another lateralization was not possible. In 1 patient memory dominance was determined by the Montreal protocol alone because of lack of cooperation. These early results indicate that the methods may be complementary for determination of language and memory dominance in epilepsy surgery candidates.

【 授权许可】

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