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Predictors of Patient Inability to Cooperate during Intraoperative Language Mapping.
MedLine Citation:
PMID:  12609163     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We examined the demographic, seizure history, personality, and intellectual variables in seizure surgery patients who underwent intraoperative language mapping to identify variables that may help predict inability to cooperate with intraoperative mapping. Of 26 patients who had intraoperative language testing during left hemisphere lobectomy, 9 were unable to cooperate with language mapping procedures. Mapping "failure" consisted of an inability to conform to task demands due to anxiety, inattention, immaturity, or confusion that necessitated changing from local to general endotracheal anesthesia. Patients who were unable to cooperate with intraoperative mapping had significantly lower IQs, lower educational attainment, and higher Depression scale scores on the Minnesota Multiphasic Personality Inventory (MMPI) relative to cooperative patients. There were no statistically significant differences between groups with respect to age, handedness, sex, age of onset of habitual seizures, seizure type, site of seizure focus, presence of a lesion, or previous psychiatric history.
Authors:
G P Lee; D W Loring; J R Smith; M R Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  1     ISSN:  1525-5050     ISO Abbreviation:  Epilepsy Behav     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2010-09-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  327-32     Citation Subset:  -    
Affiliation:
Section of Neurosurgery, Medical College of Georgia, Augusta, Georgia, 30912-4010; Department of Psychiatry & Health Behavior, Medical College of Georgia, Augusta, Georgia, 30912-4010.
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