← Return to Prolonged confusional state after series of seizures

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@santosha

Hi @earlylonghauler
I also have temporal lobe epilepsy and the neuroevaluation has shown that not only my cognitive function, but also my executive one was affected. My seizures start at the left temporal lobe and through this evaluation it was observed that they might also expand to the frontal lobe, main area of executive function.
Did you also experience executive function decline with your epilepsy? Are your seizures just partial ones or do you also have tonic-clonic/generalized seizures? You might have mentioned it on other post, but I can not remember. Sorry for that.
Here an extract explaining the executive function in a simplified way that I found on internet:
"The phrase “executive function” refers to a set of skills. These skills underlie the capacity to plan ahead and meet goals, display self-control, follow multiple-step directions even when interrupted, and stay focused despite distractions, among others."
And here a link with more information on executive functions, in case you are interested: https://my.clevelandclinic.org/health/symptoms/23224-executive-dysfunction
Chris (@santosha)

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Replies to "Hi @earlylonghauler I also have temporal lobe epilepsy and the neuroevaluation has shown that not only..."

Hi Chris, now that you mention it - yes, my executive function was affected, particularly in the weeks prior to the tonic clonic that led to my diagnosis. My doctors have not mentioned “executive function” as an issue to me but your description sounds like something I have experienced on some level. In the weeks before my first (and only so far) tonic clonic seizure, I noted that I had trouble remembering things. I feel like the memories are there, but the index to them is broken, damaged, or missing. Another way to describe it is as if you have a notebook that you use to keep track of things to do. Except the notebook becomes increasingly smaller, then just scattered pieces of paper, smaller and smaller in size, until all you have is a jumble of papers with no order, and no ability to find any one piece of information. I’m currently on Vimpat which does not fully control my seizures - I have had a number of focal seizures since - but it has prevented the seizures from going global. I will be switching to Briviact soon in hopes it controls all seizure activity better. I’m starting my second year with Epilepsy. I keep track of all seizure activity on a spreadsheet, so far just over a dozen, most since starting Vimpat. Hopefully Briviact works better for me. All the best to all!