A revised intracarotid etomidate memory (Wada) procedure

F. Andelman, S. Kipervasser, S. Maimon, I. Fried, Y. Parmet, M. Y. Neufeld

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Objectives: To evaluate unilateral memory function by the means of a modified Montreal etomidate speech and memory procedure (e-SAM) in epilepsy patients who were candidates for standard anterior temporal lobectomy involving resection of mesial temporal lobe structures. Materials and methods: After the first three patients experienced significant side effects with the e-SAM procedure, we modified the procedure to a single bolus injection. The neuropsychological data of all 21 patients who underwent unilateral memory testing by means of intracarotid injection of etomidate were analyzed. Results: There was a significant difference in memory scores when injections were on the side ipsilateral to the epileptogenic focus compared with when the injections were on the contralateral side (P < 0.01), supposedly reflecting unilateral hippocampal memory function and dysfunction. In addition, the procedural modification resulted in eradication of all major side effects in the ensuing 18 patients. Conclusions: The technical modification of the Montreal procedure from continuous to bolus injection effectively enabled the demonstration of the relative weakness of the memory function of the epileptogenic hemisphere. The revised etomidate procedure provided the clinical information on unilateral hippocampal memory function necessary for surgical decision.

Original languageEnglish
Pages (from-to)97-102
Number of pages6
JournalActa Neurologica Scandinavica
Volume127
Issue number2
DOIs
StatePublished - 1 Feb 2013

Keywords

  • Etomidate
  • Hippocampal function
  • Memory
  • Wada test

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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