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| Research article summary (published 29 Jun 2003): |
Narrative and procedural discourse in temporal lobe epilepsy.
Full Abstract
It is well established that some individuals with temporal lobe epilepsy (TLE) demonstrate language deficits at the single word level. However, discourse production rarely has been examined quantitatively within this group. This study compared adult TLE patients with an early seizure onset (< or = age 14 years, n = 27) to a control group (n = 28) on narrative and procedural discourse tasks. As a group, the TLE patients performed normally on the procedural discourse task, but differed significantly from the controls on several narrative discourse variables. At the individual level, 30% of the TLE patients versus 4% of the controls demonstrated impaired discourse ability (p and 0.01). Within this early onset TLE group, discourse performance was not associated with demographic or seizure history variables. Considering the cognitive domain, discourse performance correlated significantly with working memory. In summary, mild discourse dysfunction was present in a significant minority of early onset TLE patients, but this deficit was not closely associated with other language measures. Discourse ability and its neuropsychological, neuroanatomical and conversational speech correlates deserve further study in TLE patients.
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Author information
Author/s: Bell, Brian (B); Dow, Christian (C); Watson, E Ryann (ER); Woodard, Austin (A); Hermann, Bruce (B); Seidenberg, Michael (M);
Affiliation: Department of Neurology, University of Wisconsin, Madison, Wisconsin 53792, USA. bell(-atsign-)neurology.wisc.edu
Grants: MO1 RR03186 (Agency:United States NCRR) ; NS37738 (Agency:United States NINDS) ; NS42251 (Agency:United States NINDS)
Journal and publication information
Publication Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.
Journal: Journal of the International Neuropsychological Society : JINS (J Int Neuropsychol Soc), published in England. (Language: eng)
Reference: 2003-Jul; vol 9 (issue 5) : pp 733-9
Dates: Created 2003/08/06; Completed 2003/09/23; Revised 2007/11/14;
PMID: 12901779, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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