Article

Executive dysfunction in children and adolescents with temporal lobe epilepsy: is the Wisconsin Card Sorting Test enough?

Psychology & Neuropsychology Unit, Institute of Psychiatry, University of São Paulo Medical School (IPq-HC-FMUSP), São Paulo, Brazil.
Epilepsy & Behavior (impact factor: 2.34). 05/2009; 15(3):376-81. DOI:10.1016/j.yebeh.2009.04.014 pp.376-81
Source: PubMed

ABSTRACT The Wisconsin Card Sorting Test (WCST) is the gold standard in the evaluation of executive dysfunction (ED) in patients with temporal lobe epilepsy (TLE). We evaluated 35 children with TLE and 25 healthy controls with the WCST and with a more comprehensive battery. Among the children with TLE, 77.14% showed impairment on the WCST. On other tests (Wechsler Intelligence Scale for Children-Digit Forward, Matching Familiar Figures Test, Trail Making Test, Word Fluency, Finger Windows, and Number-Letter Memory), impairment was demonstrated in 94.29%. The authors concluded that the WCST is a good paradigm to measure executive impairment in children with TLE; however, it may be not enough. Evaluation performed only with the WCST not only underestimated the number of patients with ED, but also missed relevant information regarding the type of ED.

0 0
 · 
0 Bookmarks
 · 
51 Views
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

25 healthy controls
 
35 children
 
Children-Digit
 
comprehensive battery
 
Finger Windows
 
gold standard
 
good paradigm
 
Matching Familiar Figures Test
 
measure executive impairment
 
Number-Letter Memory
 
relevant information
 
temporal lobe epilepsy
 
tests
 
WCST
 
Wechsler Intelligence Scale
 
Wisconsin Card
 
Word Fluency