Abstract
Purpose of Review
A paradigm shift in contemporary epileptology has been the reframing of both epilepsy and its comorbid memory disorders as the product of diseased brain networks. The current review discusses some of the clinical and theoretical implications that stem from this shift.
Recent Findings
Some implications of a network conceptualisation of epilepsy include a need for more widespread cognitive phenotyping in epilepsy; recognition that memory disorders in epilepsy can be multi-determined, including by non-structural factors; deeper consideration given to the neurodevelopmental context in which memory problems emerge; the utility of new methods to characterise memory impairments in epilepsy; and a call for greater recognition of the close interrelationships between memory comorbidities and psychiatric symptoms in epilepsy.
Summary
Memory disorder significantly worsens the quality of life of people with epilepsy, underscoring the importance to patient wellbeing of giving due consideration to the up-to-date neuropsychological practises outlined in this review.
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Acknowledgements
We would like to thank Professor Graeme Jackson for his support, as well as our colleagues in the Comprehensive Epilepsy Programme at Austin Health. We would also like to acknowledge the support from a National Health and Medical Research Council project grant #APP1081151.
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Genevieve Rayner and Chris Tailby each declare no potential conflicts of interest.
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Rayner, G., Tailby, C. Current Concepts of Memory Disorder in Epilepsy: Edging Towards a Network Account. Curr Neurol Neurosci Rep 17, 55 (2017). https://doi.org/10.1007/s11910-017-0765-7
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DOI: https://doi.org/10.1007/s11910-017-0765-7