Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection

Abstract Approximately 40% of individuals undergoing anterior temporal lobe resection for temporal lobe epilepsy experience episodic memory decline. There has been a focus on early memory network changes; longer-term plasticity and its impact on memory function are unclear. Our study investigates ne...

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Main Authors: Marine N. Fleury, Lawrence P. Binding, Peter Taylor, Fenglai Xiao, Davide Giampiccolo, Sarah Buck, Gavin P. Winston, Pamela J. Thompson, Sallie Baxendale, Andrew W. McEvoy, Matthias J. Koepp, John S. Duncan, Meneka K. Sidhu
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-55704-x
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author Marine N. Fleury
Lawrence P. Binding
Peter Taylor
Fenglai Xiao
Davide Giampiccolo
Sarah Buck
Gavin P. Winston
Pamela J. Thompson
Sallie Baxendale
Andrew W. McEvoy
Matthias J. Koepp
John S. Duncan
Meneka K. Sidhu
author_facet Marine N. Fleury
Lawrence P. Binding
Peter Taylor
Fenglai Xiao
Davide Giampiccolo
Sarah Buck
Gavin P. Winston
Pamela J. Thompson
Sallie Baxendale
Andrew W. McEvoy
Matthias J. Koepp
John S. Duncan
Meneka K. Sidhu
author_sort Marine N. Fleury
collection DOAJ
description Abstract Approximately 40% of individuals undergoing anterior temporal lobe resection for temporal lobe epilepsy experience episodic memory decline. There has been a focus on early memory network changes; longer-term plasticity and its impact on memory function are unclear. Our study investigates neural mechanisms of memory recovery and network plasticity over nearly a decade post-surgery. We assess memory network changes, from 3–12 months to 10 years postoperatively, in 25 patients (12 left-sided resections) relative to 10 healthy matched controls, using longitudinal task-based functional MRI and standard neuropsychology assessments. We observe key adaptive changes in memory networks of a predominantly seizure-free cohort. Ongoing neuroplasticity in posterior medial temporal regions and contralesional cingulum or pallidum contribute to long-term verbal and visual memory recovery. Here, we show the potential for sustained cognitive improvement and importance of strategic approaches in epilepsy treatment, advocating for conservative surgeries and long-term use of cognitive rehabilitation for ongoing recovery.
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spelling doaj-art-395cac99c6a247f3936a2c8a9afd824e2025-01-19T12:32:19ZengNature PortfolioNature Communications2041-17232025-01-0116111710.1038/s41467-024-55704-xLong-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resectionMarine N. Fleury0Lawrence P. Binding1Peter Taylor2Fenglai Xiao3Davide Giampiccolo4Sarah Buck5Gavin P. Winston6Pamela J. Thompson7Sallie Baxendale8Andrew W. McEvoy9Matthias J. Koepp10John S. Duncan11Meneka K. Sidhu12Department of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLDepartment of Clinical and Experimental Epilepsy, Queen Square Institute of Neurology, UCLAbstract Approximately 40% of individuals undergoing anterior temporal lobe resection for temporal lobe epilepsy experience episodic memory decline. There has been a focus on early memory network changes; longer-term plasticity and its impact on memory function are unclear. Our study investigates neural mechanisms of memory recovery and network plasticity over nearly a decade post-surgery. We assess memory network changes, from 3–12 months to 10 years postoperatively, in 25 patients (12 left-sided resections) relative to 10 healthy matched controls, using longitudinal task-based functional MRI and standard neuropsychology assessments. We observe key adaptive changes in memory networks of a predominantly seizure-free cohort. Ongoing neuroplasticity in posterior medial temporal regions and contralesional cingulum or pallidum contribute to long-term verbal and visual memory recovery. Here, we show the potential for sustained cognitive improvement and importance of strategic approaches in epilepsy treatment, advocating for conservative surgeries and long-term use of cognitive rehabilitation for ongoing recovery.https://doi.org/10.1038/s41467-024-55704-x
spellingShingle Marine N. Fleury
Lawrence P. Binding
Peter Taylor
Fenglai Xiao
Davide Giampiccolo
Sarah Buck
Gavin P. Winston
Pamela J. Thompson
Sallie Baxendale
Andrew W. McEvoy
Matthias J. Koepp
John S. Duncan
Meneka K. Sidhu
Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection
Nature Communications
title Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection
title_full Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection
title_fullStr Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection
title_full_unstemmed Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection
title_short Long-term memory plasticity in a decade-long connectivity study post anterior temporal lobe resection
title_sort long term memory plasticity in a decade long connectivity study post anterior temporal lobe resection
url https://doi.org/10.1038/s41467-024-55704-x
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