Cairós-González, Mariana, Verche Borges, Emilio, Hernández Expósito, Sergio, Alonso Garrido, María Ángeles, Cairós-González, Mariana, Verche Borges, Emilio, Hernández Expósito, Sergio, and Alonso Garrido, María Ángeles
Información de financiación: This research was co-financed by the Canary Islands Agency of Research, Innovation, and Information Society and the European Social Fund, as well as by the Ministry of Economy and Competitiveness ( PSI2013-42872-P and PSI2017-82748-P ). Referencias bibliográficas: • Fisher RS, Cross JH, French JA, Higurashi N, Hirsch E, Jansen FE, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia 2017;58(4):522-530. • Scheffer, I. E., Berkovic, S., Capovilla, G., Connolly, M. B., French, J., Guilhoto, L., et al. ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. Epilepsia 2017; 58(4), 512-521. • Fernández-Suárez E, Villa-Estébanez R, García-Martínez A, Fidalgo-González JA, Zanabili Al-Sibbai AA, Salas-Puig J. Prevalencia, tipo de epilepsia y uso de fármacos antiepilépticos en atención primaria. Rev Neurol 2015; 60(12): 535-542. • Sukla G, Prasad AN. Natural history of temporal lobe epilepsy: antecedents and progression (Review). Epilepsy Research and Treatment 2012; Vol 2012. • Pastor J, Uzcátegui YG, Gal-Iglesias B, Ortega GJ, Sola RG, Menéndez de la Prida L. Bases fisiopatológicas de la epilepsia del lóbulo temporal: Estudios en humanos y animales. Rev Neurol 2006; 42(11): 663-673. • Sánchez-Álvarez JC. Cirugía de la epilepsia del lóbulo temporal. Rev. Neurol 2005; 41 (1): 1-3. • Du F, Whetsell WO, Abou-Khalil B, Blumenkopf B, Lothman EW, Schwarcz R. Preferential neuronal loss in layer III of the entorhinal cortex in patients with temporal lobe epilepsy. Epilepsy Res 1993; 16: 223-233. • Herrera-Peco V, Fernández-Millares J, Pastor V, Hernando-Requejo RG, Sola C, Alonso-Cerezo C. Factores genéticos asociados a la epilepsia del lóbulo temporal (Revisión). Rev Neurol 2009; 49 (10): 541-546. • Alemany-Rosales B, Prieto-Montalvo J. Epilepsia temporal farmacorresisten, Introduction: Temporal Lobe Epilepsy (TLE) has been associated with memory impairments, which are typically linked to hippocampal and mesial temporal cortex lesions. Considering the presence of extensive bidirectional frontotemporal connections, it can be hypothesized that executive dysfunction in TLE is modulated by the lateralization of the epileptic foci. Material and Methods: A comprehensive neuropsychological executive functions protocol was administered to 63 participants, including 42 individuals with temporal lobe epilepsy (20 with right-TLE and 22 with left-TLE) and 21 healthy controls aged 20–49. Results: The results indicate that TLE patients exhibit poorer executive performance compared to healthy controls in working memory (F(2,60) = 4.18, p <.01), planning (F(2,60) = 4.71, p <.05), set shifting (F(2,60) = 10.1, p <.001), phonetic verbal fluency (F(2,60) = 11.71, p <.01) and semantic verbal fluency (F(2,60) = 9.61, p <.001. No significant differences were found in cognitive inhibition. Furthermore, right-TLE patients showed lower performance than left-TLE in set shifting (F(1,61) = 6.45, p <.05), while no significant differences were observed in working memory, planning, inhibition, and verbal fluency. Conclusions: This research emphasize the importance of considering the lateralization of the temporal lobe focus to achieve a more accurate neuropsychological characterization. The cognitive differences between left and right TLE patients highlight the need for individualized approaches in their treatment and care., Ministerio de Economía y Competitividad (Spain), European Social Fund Plus (European Union), Depto. de Psicobiología y Metodología en Ciencias del Comportamiento, Fac. de Educación, TRUE, pub