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| Author(s): |
Khallil Taverna Chaim
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2009-03-24 |
| Examining board members: |
Dráulio Barros de Araújo;
Luiz de Gonzaga Gawryszewski;
Américo Ceiki Sakamoto
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| Advisor: | Dráulio Barros de Araújo |
| Abstract | |
Medial temporal lobe (MTL) is essential for memory tasks and has many connections with different areas of the brain. Patients with MTL epilepsy refractory to medical treatment are candidates for surgery to remove the epileptiform tissue. Therefore, before surgery, it is essential to assess the risk of memory function decrease caused by the procedure, through a series of clinical trials. Recently, there is the possibility of studying certain aspects of brain functioning by using a non-invasive technique: functional Magnetic Resonance Imaging (fMRI). The aim of this work was to implement memory protocols in fMRI studies of epilepsy patients. For attention maintenance during the fMRI study an infrared device was built, in order to record the response times. In addition, a software was developed (VOI Analyser) to optimize the analysis of the fMRI examinations. Both have been widely used in several research projects enabling the study of complex tasks. In this study, the task was intended to identify the functional networks involved in the process of encoding and retrieving of episodic memory using a visual task involving complex scenes. 19 subjects were studied: 12 controls and 7 patients with refractory epilepsy. Group study showed the involvement of structures in MTL. The task has demonstrated a high level of difficulty, especially for patients, based on the analysis of response times and correct hits. In addition to the study of groups, an individual analysis was performed by region of interest (ROI), with emphasis on amigdala-hippocampus complex. Then, functional hemispheric asymmetry was studied, by means of the lateralization index (LI). In addition to the computation of conventional LI, an alternative LI was proposed, which considers voxels occupancy and ROI asymmetry. The use of such modified index tuned the analysis more stable by decreasing the dependence on considered statistical threshold. Moreover, LI was also computed on 3 portions of the hippocampus: anterior, middle and posterior. The results indicated a greater involvement of the posterior portion on the encoding task and anterior one in the recovery task, both for volunteers and patients. (AU) | |