Neuropsychological Assessment in Refractory Temporal Lobe Epilepsy

Document Type : مقاله بازآموزی

Authors

1 Associate Professor, Behavioral Sciences Research Center, Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Department of Psychology, School of Educational Sciences and Psychology, The University of Isfahan, Isfahan, Iran

Abstract

Background: Approximately 30% of patients with epilepsy are medically refractory to conventional antiepileptic pharmacotherapy. In these patients, recurrent seizure and side effects of drugs interfere with the patient`s quality of life and can cause cognitive and behavioral deficits. Neuropsychological assessment plays a vital role in any comprehensive epilepsy program.Methods: We tried to find the most applicable neuropsychological assessments with high validity, reliability by reviewing valid references.Findings: The Wechsler adult intelligence scale, the Wechsler memory scale– III, Verbal learning test, Rey-Osterrieth complex figure test, Verbal fluency and naming tests, Design fluency test, Continuous performance test, Trail making A and B, Finger tapping, and Grooved pegboard test are of the most applicable tests. Conclusion: Neuropsychological assessment of patients with refractory epilepsy is a complementary section of any Comprehensive Epilepsy Program. Findings of these assessments may have great role for treatment plan and prediction of cognitive conse.

Keywords

References

  1. Snyder PJ, Nussbaum PD, Robins DL. Clinical Neuropsychology: A Pocket Handbook for Assessment. 2nd ed. Washington DC: American Psychological Association (APA); 2006.
  2. Fisher RS, van Emde BW, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 2005; 46(4): 470-2.
  3. Hauser S, Josephson S. Harrison's Neurology in Clinical Medicine. 2nd ed. New York: McGraw-
  4. Hill Professional; 2010.
  5. Hermann B, Seidenberg M. Neuropsychology and temporal lobe epilepsy. CNS Spectr 2002; 7(5): 343-8.
  6. Aldenkamp AP, Vermeulen J. Neuropsychological rehabilitation of memory function in epilepsy. Neuropsychological Rehabilitation 1991; 1(3): 199-214.
  7. Leijten FS, Alpherts WC, Van Huffelen AC, Vermeulen J, Van Rijen PC. The effects on cognitive performance of tailored resection in surgery for nonlesional mesiotemporal lobe epilepsy. Epilepsia 2005; 46(3): 431-9.
  8. Gleissner U, Helmstaedter C, Elger CE. Memory reorganization in adult brain: observations in three patients with temporal lobe epilepsy. Epilepsy Res 2002; 48(3): 229-34.
  9. Moazzami D. An introduction to Neuropsychology. Tehran: Samt; 2007.
  10. Keary TA, Frazier TW, Busch RM, Kubu CS, Iampietro M. Multivariate neuropsychological prediction of seizure lateralization in temporal epilepsy surgical cases. Epilepsia 2007; 48(8): 1438-46.
  11. Greenberg DA, Aminoff MJ, Simon RP. Clinical Neurology. 5th ed. New York: McGraw-Hill; 2002.
  12. Jones-Gotman M, Smith ML, Risse GL, Westerveld M, Swanson SJ, Giovagnoli AR, et al. The contribution of neuropsychology to diagnostic assessment in epilepsy. Epilepsy Behav 2010; 18(1-2): 3-12.
  13. Moore PM, Baker GA. The neuropsychological and emotional consequences of living with intractable temporal lobe epilepsy: implications for clinical management. Seizure 2002; 11(4): 224-30.
  14. Akanuma N, Alarcon G, Lum F, Kissani N, Koutroumanidis M, Adachi N, et al. Lateralising value of neuropsychological protocols for presurgical assessment of temporal lobe epilepsy. Epilepsia 2003; 44(3): 408-18.
  15. Hermann B, Seidenberg M, Lee EJ, Chan F, Rutecki P. Cognitive phenotypes in temporal lobe epilepsy. J Int Neuropsychol Soc 2007; 13(1): 12-20.
  16. Raspall T, Donate M, Boget T, Carreno M, Donaire A, Agudo R, et al. Neuropsychological tests with lateralizing value in patients with temporal lobe epilepsy: reconsidering material-specific theory. Seizure 2005; 14(8): 569-76.
  17. Strauss E, Sherman E, Spreen O. A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary. 3rd ed. New York: Oxford University Press, USA; 2006.
  18. Lezak MD, Howieson DB, Loring DW, Hannay HJ, Fischer JS. Neuropsychological Assessment. 4th ed. New York: Oxford University Press, USA; 2004.
  19. Groth-Marnat G. Neuropsychological Assessment in Clinical Practice: A Guide to Test Interpretation and Integration. 1st ed. New York: Wiley; 2000.
  20. Wilde N, Strauss E, Chelune GJ, Loring DW, Martin RC, Hermann BP, et al. WMS-III performance in patients with temporal lobe epilepsy: group differences and individual classification. J Int Neuropsychol Soc 2001; 7(7): 881-91.
  21. Stroup E, Langfitt J, Berg M, McDermott M, Pilcher W, Como P. Predicting verbal memory decline following anterior temporal lobectomy (ATL). Neurology 2003; 60(8): 1266-73.
  22. Lee TM, Yip JT, Jones-Gotman M. Memory deficits after resection from left or right anterior temporal lobe in humans: a meta-analytic review. Epilepsia 2002; 43(3): 283-91.
  23. Kennepohl S, Sziklas V, Garver KE, Wagner DD, Jones-Gotman M. Memory and the medial temporal lobe: hemispheric specialization reconsidered. Neuroimage 2007; 36(3): 969-78.
  24. Goldstein LH, McNeil JE. Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians. New York: John Wiley & Sons; 2004.
Journal of Isfahan Medical School
Volume 29, Issue 143 - Serial Number 143
May and June 2011
Pages 780-790

Files

History

  • Receive Date: 25 June 2011
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics