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Aphasia and Neurobehavior Research Center of the Boston Veterans Administration Hospital, the Department of Neurology, Boston University School of Medicine (Drs. Mayeaux and Benson), and the Department of Psychology, Boston University (Mr. Brandt and Dr. Rosen).
Memory and language were evaluated in patients with temporal lobe epilepsy and generalized epilepsy. Subjects were matched for age, duration of illness, and seizure frequency, and grouped according to the electroencephalographic results and seizure type into right temporal, left temporal, and generalized. In formal tests of intelligence, auditory and visual memory, and language, a significant difference was noted only on a confrontation naming test. The mean score on this test was considerably lower in the left temporal group; right temporal and generalized groups scored in the normal range. This decrement correlated with impairment on many verbal subtests of intelligence and memory. These results suggest that the interictal memory impairment of temporal lobe epilepsy may be an anomia and that the anomia may contribute to impairment of verbal learning and memory; both circumlocution and circumstantiality may compensate for anomia.
Address correspondence and reprint requests to Dr. Mayeux, Neurological Institute, 710 West 168th Street, New York. NY 10032.
Accepted for publication July 11, 1979.
This paper was presented in part at the thirty-first annual meeting of the American Academy of Neurology, Chicago, April 1979.
This work was supported by National Institutes of Health Awards Nos. NS05773-01 and NS06209 to the Boston University School of Medicine and by research support from the Veterans Administration.
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