Hemispheric specialization in partial epilepsy role of dichotic listening cv task and central audiological evaluation in the neuropsychological assessment

Muszkat, Mauro; Vincenzo, Neyde Santacchi de; Reami, Denilce Oliveira; Almeida, Clemente I. Ribeiro de; Campos, Maria I.; Campos, Carlos J. Reis de

doi:10.1590/S0004-282X1991000400003

Abstracts

We studied 49 patients with partial epilepsy divided into lesional cases (i.e. with lesions on CT scan) and non-lesional cases (i.e. without CT scan lesions), in relation to the Wechsler Intelligence Scale subtests (Coding, Digit span), dichotic listening CV task and Central Auditory Test (SSI, PSI). The aim of this paper was to study the hemispheric prevalence in dichotic listening task with regard to cognitive perforamance, as well as the presence or absence of central auditory dysfunction. Lesional cases presented a hemisphere prevalence in dichotic listening task with regard to cognitive performance, as well as the non-lesional cases tend to report the stimuli in the same side of EEC focus. Significant differences were found among the lesional and non lesional cases in relation to the digit span score and Coding subtest in right lesional cases versus right non-lesional cases. Both lesional and non-lesional group showed signs of central auditory dysfunction. We suggest that the dichotic listening and SSI and PSI test can be useful for a best comprehension of asymmetric neuropsychological performance in partial epilepsy.

Foram avaliados 49 pacientes com epilepsia parcial, divididos em dois grupos que incluiam casos lesionais (com lesão estrutural à TCC e casos não lesionais (sem lesão à TCC). Os pacientes foram submetidos à prova de estimulação dicótica consoante-vogal (c-v), a teste autidivo central (Jerger - SSI e PSI) e à escala de Inteligência Wechsler. O objetivo do estudo foi analisar a preferência hemisférica em provas de estimulação dicótica em relação ao desempenho cognitivo bem como a presença ou ausência de disfunção auditiva central. Os casos com epilepsia parcial lesionai apresentaram preferência hemisférica à prova de estimulação no lado oposto à lesão cerebral, enquanto os casos não lesionais apresentaram preferência hemisférica no mesmo lado do foco elentrencefalográfico. Com relação ao desempenho nos sub-testes do Wechsler, observamos que os casos lesionais com foco no hemisfério direito apresentaram menor desempenho nos subtestes relacionados a atenção/concentração e memória imediata (subtestes: Código e Dígitos). Tanto os casos lesionais como os não lesionais apresentaram sinais de disfunção auditiva central. Os autores sugerem que os testes de estimulação dicótica aliados à bateria cognitiva e à avaliação auditiva central podem ser considerados instrumentos úteis no estudo da assimetria funcional hemisférica em pacientes com epilepsia parcial.

CONTENTS CONTEÚDO

Mauro Muszkat; Neyde Santacchi de Vincenzo; Denilce Oliveira Reami; Clemente I. Ribeiro de Almeida; Maria I. Campos; Carlos J. Reis de Campos

Setor de Investigação e Tratamento das Epilepsias, Disciplina de Neurologia, Escola Paulista de Medicina (EGM). This research was supported in part by grant from CNPq

SUMMARY

We studied 49 patients with partial epilepsy divided into lesional cases (i.e. with lesions on CT scan) and non-lesional cases (i.e. without CT scan lesions), in relation to the Wechsler Intelligence Scale subtests (Coding, Digit span), dichotic listening CV task and Central Auditory Test (SSI, PSI). The aim of this paper was to study the hemispheric prevalence in dichotic listening task with regard to cognitive perforamance, as well as the presence or absence of central auditory dysfunction. Lesional cases presented a hemisphere prevalence in dichotic listening task with regard to cognitive performance, as well as the non-lesional cases tend to report the stimuli in the same side of EEC focus. Significant differences were found among the lesional and non lesional cases in relation to the digit span score and Coding subtest in right lesional cases versus right non-lesional cases. Both lesional and non-lesional group showed signs of central auditory dysfunction. We suggest that the dichotic listening and SSI and PSI test can be useful for a best comprehension of asymmetric neuropsychological performance in partial epilepsy.

RESUMO

Foram avaliados 49 pacientes com epilepsia parcial, divididos em dois grupos que incluiam casos lesionais (com lesão estrutural à TCC e casos não lesionais (sem lesão à TCC). Os pacientes foram submetidos à prova de estimulação dicótica consoante-vogal (c-v), a teste autidivo central (Jerger - SSI e PSI) e à escala de Inteligência Wechsler. O objetivo do estudo foi analisar a preferência hemisférica em provas de estimulação dicótica em relação ao desempenho cognitivo bem como a presença ou ausência de disfunção auditiva central. Os casos com epilepsia parcial lesionai apresentaram preferência hemisférica à prova de estimulação no lado oposto à lesão cerebral, enquanto os casos não lesionais apresentaram preferência hemisférica no mesmo lado do foco elentrencefalográfico. Com relação ao desempenho nos sub-testes do Wechsler, observamos que os casos lesionais com foco no hemisfério direito apresentaram menor desempenho nos subtestes relacionados a atenção/concentração e memória imediata (subtestes: Código e Dígitos). Tanto os casos lesionais como os não lesionais apresentaram sinais de disfunção auditiva central. Os autores sugerem que os testes de estimulação dicótica aliados à bateria cognitiva e à avaliação auditiva central podem ser considerados instrumentos úteis no estudo da assimetria funcional hemisférica em pacientes com epilepsia parcial.

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Dr. Carlos José Reis de Campos - Disciplina de Neurologia Escola Paulista de Medicina - Rua Botucatu 740 - 04023 São Paulo SP - Brasil.

1. Aarts HP, Binnie CD, Smith AM, Wilkings AJ. Selective cognitive impairment during focal and generalized epileptiform EEG activity. Brain 1984, 107:293-308.
2. Amaducci L, Sorbi S, Albanese A. Choline-acetyltransferase activity differs in right and left human temporal lobes. Neurology 1981, 31:799-805.
3. Bear MD. Temporal lobe epilepsy: a syndrome of sensory limbic hyperconnection. Cortex 1979, 15:357-384.
4. Binnie CD, Kastelejn-Nolst Trenité DGA, Smith AM, Wilkins AJ. Interactions of epileptiform EEG discharges and cognition. Epilepsy Res 1987, 1:239-245.
5. Collard ME, Liesser RP, Luders H. Four dichoticspeech, tests before and after temporal lobectomy. Ear and Hearing 1986, 7:363-369.
6. Comission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised clinical and eletroencephalographic classification of epileptic seizures. Epilepsia 1981, 22:489-501.
7. Comission on Classification and Terminology of the International League Against Epilepsy. Proposal for classification of epilepsies and epileptic syndromes. Epilepsia 1985, 26:268-278.
8. Crosson B, Warren L. Dichotic ear preference for C-V-C words in Wernicke's and Broca's aphasia. Cortex 1981, 17:249-258.
9. Gardner H, Silverman J, Denes G. Sensitivity to musical denotations and conotations in organic patients. Cortex 1977, 13:242-256.
10. Geffen G, Quink K. Hemispheric specialization on ear advantages in processing speech. Psychol Bull 1984, 96:273-291.
11. Herzog AG, Russel V, Vaitukaitis JL, Geshwind N. Neuroendocrine dysfunction in temporal lobe epilepsy. Arch Neurol 1982, 39:133-135.
12. Hugdahl K, Andersson L. The forced attention paradigm in dichotic listening to CV syllables: a comparison between adults and children. Cortex 1986, 22:417-432.
13. Jerger S, Jerger J. Auditory Disorders: A Manual of Clinical Evaluation. Boston: Little-Brown, 1981.
14. Jerger S, Jerger J, Abrams S. Speech audiometry in the young child. Ear and Hearing 1983, 4:-56-66.
15. Johnson JP, Sommers RK, Weider WE. Dichotic ear preferences in aphasia. J Spe Hear Res 1977, 20:116-129.
16. Kimura D. Cerebral dominance and the perception of verbal stimuli. Can J Psychol 1961, a:167-171.
17. Kinsbourne M. The cerebral basis of lateral asymmetries in attention. Acta Psychol 1970, 33:193-201.
18. Ladavas E, Umilta C, Provinciali L. Hemisphere-dependent cognitive performance in epileptic patients. Epilepsia 1979, 20:493-502.
19. Mayeux R, Brandt J, Rosen J, Bengson FD. Interictal memory and language impairment in temporal lobe epilepsy. Neurology 1980, 30:120-125.
20. Mazzucchi A, Parma M. Responses to dichotic listening in temporal epileptic with and without lesions. Cortex 1978, 14:381-390.
21. Mazzucchi A, Vistintini D, Magnani G, Cattelani R, Parma M. Hemispheric prevalence in partial epileptic patients on perceptual and attentional task. Epilepsia 1985, 24:370-390.
22. Mclntyre M, Pritchard PB III, Lombroso CT. Left and right temporal lobe epileptics : a controlled investigation of some psychological differences. Epilepsia 1976, 17:377-386.
23. McKeever WF, Nolan DR, Diehl JA, Seitz KS. Handedness and language laterality discrimination of handedness groups on the dichotic consonant-vowel task. Cortex 1984, 20:509-523.
24. Muszkat M. Estimulação Dicótica Consoante-Vogal (ED-CV) em Pacients com Epilepsia Parcial. Tese de Mestrado. Disciplina de Neurologia Clínica, Escola Paulista de Medicina. São Paulo, 1989.
25. Olsen WO. Dichotic test results for normal subjects and for temporal lobectomy patients. Ear and Hearing 1983, 4:324-330.
26. Rausch R, Walsh GO. Right hemisphere language dominance in right-handed epileptic patients. Arch Neurol 1984, 4:1077-1080.
27. Reynolds EH. Mental effects of antiepileptic medication: a review. Epilepsia 1983, 24:85-95.
28. Shuloff C, Goodglass H. Dichotic listening, side of brain injury and cerebral dominance. Neuropsychologia 1969, 7:149-160.
29. Shankweiller D, Studdert-Kennedy M. Lateral differences in perception of dichotically presented synthetic CV syllables and steady-state vowels. J Acoust Soc Am 1966, 39:1256.
30. Tanabe H, Nishikawa T, Okuda J, Shiraishi J. Auditory extinction to nonverbal and verbal stimuli. Acta Neurol Scand 1986, 73:173-179.

Hemispheric specialization in partial epilepsy role of dichotic listening cv task and central audiological evaluation in the neuropsychological assessment

Especializarão hemisférica na epilepsia parcial: papel da prova de estimulação dicótica CV e da avaliação audiológica central na apreciação do desempenho neuropsicológico

Publication Dates

Publication in this collection
22 Feb 2011
Date of issue
Dec 1991

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Aarts HP, Binnie CD, Smith AM, Wilkings AJ. Selective cognitive impairment during focal and generalized epileptiform EEG activity. Brain 1984, 107:293-308.

[2] 2. Amaducci L, Sorbi S, Albanese A. Choline-acetyltransferase activity differs in right and left human temporal lobes. Neurology 1981, 31:799-805.

[3] 3. Bear MD. Temporal lobe epilepsy: a syndrome of sensory limbic hyperconnection. Cortex 1979, 15:357-384.

[4] 4. Binnie CD, Kastelejn-Nolst Trenité DGA, Smith AM, Wilkins AJ. Interactions of epileptiform EEG discharges and cognition. Epilepsy Res 1987, 1:239-245.

[5] 5. Collard ME, Liesser RP, Luders H. Four dichoticspeech, tests before and after temporal lobectomy. Ear and Hearing 1986, 7:363-369.

[6] 6. Comission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised clinical and eletroencephalographic classification of epileptic seizures. Epilepsia 1981, 22:489-501.

[7] 7. Comission on Classification and Terminology of the International League Against Epilepsy. Proposal for classification of epilepsies and epileptic syndromes. Epilepsia 1985, 26:268-278.

[8] 8. Crosson B, Warren L. Dichotic ear preference for C-V-C words in Wernicke's and Broca's aphasia. Cortex 1981, 17:249-258.

[9] 9. Gardner H, Silverman J, Denes G. Sensitivity to musical denotations and conotations in organic patients. Cortex 1977, 13:242-256.

[10] 10. Geffen G, Quink K. Hemispheric specialization on ear advantages in processing speech. Psychol Bull 1984, 96:273-291.

[11] 11. Herzog AG, Russel V, Vaitukaitis JL, Geshwind N. Neuroendocrine dysfunction in temporal lobe epilepsy. Arch Neurol 1982, 39:133-135.

[12] 12. Hugdahl K, Andersson L. The forced attention paradigm in dichotic listening to CV syllables: a comparison between adults and children. Cortex 1986, 22:417-432.

[13] 13. Jerger S, Jerger J. Auditory Disorders: A Manual of Clinical Evaluation. Boston: Little-Brown, 1981.

[14] 14. Jerger S, Jerger J, Abrams S. Speech audiometry in the young child. Ear and Hearing 1983, 4:-56-66.

[15] 15. Johnson JP, Sommers RK, Weider WE. Dichotic ear preferences in aphasia. J Spe Hear Res 1977, 20:116-129.

[16] 16. Kimura D. Cerebral dominance and the perception of verbal stimuli. Can J Psychol 1961, a:167-171.

[17] 17. Kinsbourne M. The cerebral basis of lateral asymmetries in attention. Acta Psychol 1970, 33:193-201.

[18] 18. Ladavas E, Umilta C, Provinciali L. Hemisphere-dependent cognitive performance in epileptic patients. Epilepsia 1979, 20:493-502.

[19] 19. Mayeux R, Brandt J, Rosen J, Bengson FD. Interictal memory and language impairment in temporal lobe epilepsy. Neurology 1980, 30:120-125.

[20] 20. Mazzucchi A, Parma M. Responses to dichotic listening in temporal epileptic with and without lesions. Cortex 1978, 14:381-390.

[21] 21. Mazzucchi A, Vistintini D, Magnani G, Cattelani R, Parma M. Hemispheric prevalence in partial epileptic patients on perceptual and attentional task. Epilepsia 1985, 24:370-390.

[22] 22. Mclntyre M, Pritchard PB III, Lombroso CT. Left and right temporal lobe epileptics : a controlled investigation of some psychological differences. Epilepsia 1976, 17:377-386.

[23] 23. McKeever WF, Nolan DR, Diehl JA, Seitz KS. Handedness and language laterality discrimination of handedness groups on the dichotic consonant-vowel task. Cortex 1984, 20:509-523.

[24] 24. Muszkat M. Estimulação Dicótica Consoante-Vogal (ED-CV) em Pacients com Epilepsia Parcial. Tese de Mestrado. Disciplina de Neurologia Clínica, Escola Paulista de Medicina. São Paulo, 1989.

[25] 25. Olsen WO. Dichotic test results for normal subjects and for temporal lobectomy patients. Ear and Hearing 1983, 4:324-330.

[26] 26. Rausch R, Walsh GO. Right hemisphere language dominance in right-handed epileptic patients. Arch Neurol 1984, 4:1077-1080.

[27] 27. Reynolds EH. Mental effects of antiepileptic medication: a review. Epilepsia 1983, 24:85-95.

[28] 28. Shuloff C, Goodglass H. Dichotic listening, side of brain injury and cerebral dominance. Neuropsychologia 1969, 7:149-160.

[29] 29. Shankweiller D, Studdert-Kennedy M. Lateral differences in perception of dichotically presented synthetic CV syllables and steady-state vowels. J Acoust Soc Am 1966, 39:1256.

[30] 30. Tanabe H, Nishikawa T, Okuda J, Shiraishi J. Auditory extinction to nonverbal and verbal stimuli. Acta Neurol Scand 1986, 73:173-179.