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WMS–III performance in epilepsy patients following temporal lobectomy

Published online by Cambridge University Press:  01 March 2004

ROBERT C. DOSS ,
GORDON J. CHELUNE  and
RICHARD I. NAUGLE
ROBERT C. DOSS
Affiliation:
Minnesota Epilepsy Group, P.A., St. Paul, Minnesota
GORDON J. CHELUNE
Affiliation:
Department of Psychiatry and Psychology, Cleveland Clinic Foundation, Cleveland, Ohio Department of Neurology, Cleveland Clinic Foundation, Cleveland, Ohio
RICHARD I. NAUGLE
Affiliation:
Department of Psychiatry and Psychology, Cleveland Clinic Foundation, Cleveland, Ohio Department of Neurology, Cleveland Clinic Foundation, Cleveland, Ohio
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Abstract

We examined performances on the Wechsler Memory Scale–3rd Edition (WMS–III) among patients who underwent temporal lobectomy for the control of medically intractable epilepsy. There were 51 right (RTL) and 56 left (LTL) temporal lobectomy patients. All patients were left hemisphere speech-dominant. The LTL and RTL patients were comparable in terms of general demographic, epilepsy, and intellectual/attention factors. Multivariate analyses revealed a significant crossover interaction (p < .001), with the RTL group scoring significantly lower on the visual than auditory indexes while the LTL group scored significantly lower on the auditory than visual memory indexes. Within-group pairwise analyses revealed statistically significant auditory versus visual index score comparisons (all p < .001) for both surgical groups. Discriminant analysis (p < .001) identified Verbal Paired Associates I, Faces I, and Family Pictures II to significantly discriminate RTL and LTL patients, with an overall correct classification rate of 81.3%. Our findings suggest that the WMS–III is sensitive to modality-specific memory performance associated with unilateral temporal lobectomy. (JINS, 2004, 10, 173–179.)

Keywords

Wechsler Memory Scale–3rd EditionEpilepsyTemporal lobectomyMemory
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 10 , Issue 2 , March 2004 , pp. 173 - 179
Copyright
© 2004 The International Neuropsychological Society

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References

REFERENCES

Bachtler, S. & Dodrill, C.B. (2001). Wechsler Memory Scale III (WMS–III) auditory and visual memory scores and lesion laterality. Epilepsia, 42 (Suppl. 7), 234.Google Scholar
Barr, W.B. (1997). Examining the right temporal lobe's role in nonverbal memory. Brain and Cognition, 35, 26–41.Google Scholar
Barr, W.B., Chelune, G.J., Hermann, B.P., Loring, D.W., Perrine, K., Strauss, E., Trenerry, M.R., & Westerveld, M. (1997). The use of figural reproduction tests as measures of nonverbal memory in epilepsy surgery candidates. Journal of the International Neuropsychological Society, 3, 435–443.Google Scholar
Blakemore, C.B. & Falconer, M.A. (1967). The long term effects of anterior temporal lobectomy on certain cognitive functions. Journal of Neurology, Neurosurgery, and Psychiatry, 30, 364–367.Google Scholar
Burton, D.B., Mittenberg, W., & Burton, C.A. (1993). Confirmatory factor analysis of the Wechsler Memory Scale–Revised standardization sample. Archives of Clinical Neuropsychology, 8, 467–475.CrossRefGoogle Scholar
Chelune, G.J. (1991). Using neuropsychological data to forecast postsurgical cognitive outcome. In H. Luders (Ed.), Epilepsy surgery (pp. 477–485). New York: Raven Press.
Chelune, G.J. & Bornstein, R.A. (1988). WMS–R patterns among patients with unilateral brain lesions. Clinical Neuropsychologist, 2, 121–132.Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.
Dade, L.A. & Jones-Gotman, M. (2001). Face learning and memory: The Twins Test. Neuropsychology, 15, 525–534.Google Scholar
Doss, R.C., Risse, G.L., & Gates, J.R. (2000). Predicting mesial temporal sclerosis in epilepsy patients using the WMS–III and traditional measures of learning and memory. Epilepsia, 41 (Suppl. 7), 158.Google Scholar
Hawkins, K.A. (1998). Indicators of brain dysfunction derived from graphic representations of the WAIS–III/WMS–III Technical Manual clinical samples data: A preliminary approach to clinical utility. Clinical Neuropsychologist, 12, 535–551.Google Scholar
Holley, F.K., Lineweaver, T.T., & Chelune, G.J. (2000). Performance differences on three components of the family pictures subtest among right and left temporal lobectomy patients. Archives of Clinical Neuropsychology, 15, 679.Google Scholar
Jones-Gotman, M. (1986). Right hippocampal excision impairs learning and recall of a list of abstract designs. Neuropsychologia, 24, 192–203.Google Scholar
Jones-Gotman, M., Smith, M., & Zatorre, R.J. (1993). Neuropsychological testing for localizing and lateralizing the epileptogenic region. In J. Engel (Ed.), Surgical treatment of the epilepsies (2nd ed., pp. 245–261). New York: Raven Press.
Kanwisher, N., McDermott, J., & Chun, M.M. (1997). The fusiform face area: A module in human extrastriate cortex specialized for face perception. Journal of Neuroscience, 17, 4302–4311.Google Scholar
Kimura, D. (1963). Right temporal lobe damage: Perception of unfamiliar stimuli after damage. Archives of Neurology, 8, 264–271.Google Scholar
Lachenbruch, P.A. (1967). An almost unbiased method of obtaining confidence intervals for the probability of misclassification in discriminant analysis. Biometrics, 23, 639–645.Google Scholar
Larrabee, G.J. (1999). Wechsler Memory Scale III. Archives of Clinical Neuropsychology, 14, 473–477.Google Scholar
Lee, G.P., Loring, D.W., & Thompson, J.L. (1989). Construct validity of material-specific memory measures following unilateral temporal lobectomy. Psychological Assessment, 1, 192–197.Google Scholar
Leonberger, F.T., Nicks, S.D., Larrabee, G.J., & Goldfader, P. (1992). Factor structure of the Wechsler Memory Scale–Revised within a comprehensive neuropsychological battery. Neuropsychology, 6, 239–249.CrossRefGoogle Scholar
Loring, D.W. (1989). The Wechsler Memory Scale–Revised, or the Wechsler Memory Scale–revisited. Clinical Neuropsychologist, 3, 59–69.Google Scholar
Malec, J.F., Ivnik, R.J., Smith, G.E., Tangalos, E.G., Peterson, R.C., Kokmen, E., & Kurland, L.T.. (1992). Visual Spatial Learning Test: Normative data and further validation. Psychological Assessment, 4, 433–441.Google Scholar
Millis, S.R., Malina, A.C., Bowers, D.A., & Ricker, J.H. (1999). Confirmatory factor analysis of the Wechsler Memory Scale–III. Journal of Clinical and Experimental Neuropsychology, 21, 87–93.Google Scholar
Milner, B. (1975). Psychological aspects of focal epilepsy and its neurosurgical management. Advances in Neurology, 8, 299–321.Google Scholar
Moore, P.M. & Baker, G.A. (1997). Psychometric properties and factor structure of the Wechsler Memory Scale–Revised in a sample of persons with intractable epilepsy. Journal of Clinical and Experimental Neuropsychology, 19, 897–905.Google Scholar
Naugle, R.I., Chelune, G.J., Cheek, R., Lüders, H., & Awad, I.A. (1993). Detection of changes in material-specific memory following temporal lobectomy using the Wechsler Memory Scale–Revised. Archives of Clinical Neuropsychology, 8, 381–395.Google Scholar
Novelly, R.A., Augustine, E.A., Mattson, R.H., Glaser, G.H., Williamson, P.D., Spencer, D.D., & Spencer, S.S. (1984). Selective memory improvement and impairment in temporal lobectomy for epilepsy, Annals of Neurology, 15, 64–67.Google Scholar
Ojemann, G. & Dodrill, C. (1985). Verbal memory deficits after left temporal lobectomy for epilepsy. Journal of Neurosurgery, 62, 101–107.Google Scholar
Owen, A.M., Sahakian, B.J., Semple, J., Polkey, C.E., & Robbins, T.W. (1995). Visuo-spatial short-term recognition memory and learning after temporal lobe excisions, frontal lobe excisions or amygdalo-hippocampectomy in man. Neuropsychologia, 33, 1–24.Google Scholar
Penfield, W. & Milner, B. (1958). Memory deficit produced by bilateral lesions in the hippocampal zone. Archives of Neurology and Psychiatry, 79, 475–497.CrossRefGoogle Scholar
Psychological Corporation (1997). WAIS–III–WMS–III technical manual. San Antonio, TX: Author.
Roth, D.L., Conboy, T.J., Reeder, K.P., & Boll, T.J. (1990). Confirmatory factor analysis of the Wechsler Memory Scale–Revised in a sample of head injured patients. Journal of Clinical and Experimental Neuropsychology, 12, 834–842.Google Scholar
Sass, K.J., Westerveld, M., Buchanan, C.P., Spencer, S.S., Kim, J.H., & Spencer, D.D. (1994). Degree of hippocampal neuron loss determines severity of verbal memory decrease after left anteromesiotemporal lobectomy. Epilepsia, 35, 1179–1186.Google Scholar
Seidenberg, M., Hermann, B., Wyler, A.R., Davies, K., Dohan, F.C., & Leveroni, C. (1998). Neuropsychological outcome following anterior temporal lobectomy in patients with and without the syndrome of mesial temporal lobe epilepsy. Neuropsychology, 12, 303–316.Google Scholar
Smith, M. & Milner, B. (1981). The role of the right hippocampus in the recall of spatial location. Neuropsychologia, 19, 781–793.Google Scholar
Straus, E., Semenza, C., Hunter, M., Hermann, B., Barr, W., Chelune, G., Lavdovsky, S., Loring, D., Perrine, K., Trenerry, M., & Westerveld, M. (2000). Left anterior lobectomy and category-specific naming. Brain and Cognition, 43, 403–406.Google Scholar
Trenerry, M.R. (1995). Clinical neuropsychology in epilepsy surgery. In A. Hopkins, S. Shorvon, & G. Cascino (Eds.), Epilepsy (2nd ed., pp. 269–281). New York: Chapman and Hall.
Walton, N.H., Goodsman, C., McCarter, R., Sandeman, D.R., & Bird, J.M. (1999). An analysis of neuropsychological change scores following selective temporal resection of the non-dominant temporal lobe. Seizure, 8, 241–245.Google Scholar
Wechsler, D. (1997a). Wechsler memory scale (3rd ed.). San Antonio, TX: The Psychological Corporation.
Wechsler, D. (1997b). Wechsler adult intelligence scale (3rd ed.). San Antonio, TX: The Psychological Corporation.
Wechsler, D. (1987). Wechsler memory scale (Rev. ed.). San Antonio, TX: The Psychological Corporation.
Wilde, N., Strauss, E., Chelune, G.J., Loring, D.W., Martin, R.C., Hermann, B.P., Sherman, E., & Hunter, M. (2001). WMS–III performance in patients with temporal lobe epilepsy: Group differences and individual classification. Journal of the International Neuropsychological Society, 7, 881–891.Google Scholar
Wilde, N., Strauss, E., Hermann, B.P., Loring, D.W., Chelune, G.J., Hunter, M., Martin, R.C., & Sherman, E. (2003). Confirmatory factor analysis of the WMS–III in patients with temporal lobe epilepsy. Psychological Assessment, 15, 56–63.Google Scholar