Objective-Based upon Damasio's "Convergence Zone" model of semantic memory, we predicted that epilepsy surgical patients with anterior temporal lobe (TL) seizure onset would exhibit a pattern of category-specific naming and recognition deficits not observed in patients with seizures arising elsewhere.
Methods-We assessed epilepsy patients with unilateral seizure onset of anterior TL or other origin (n = 22), pre-or postoperatively, using a set of category-specific items and a conventional measure of visual naming (Boston Naming Test: BNT).Results-Category-specific naming deficits were exhibited by patients with dominant anterior TL seizure onset/resection for famous faces and animals, while category-specific recognition deficits for these same categories were exhibited by patients with nondominant anterior TL onset/resection. Patients with other seizure onset did not exhibit category-specific deficits. Naming and recognition deficits were frequently not detected by the BNT, which samples only a limited range of stimuli.Interpretation-Consistent with the "convergence zone" framework, results suggest that the nondominant anterior TL plays a major role in binding sensory information into conceptual percepts for certain stimuli, while dominant TL regions function to provide a link to verbal labels for these percepts. Although observed category-specific deficits were striking, they were often missed by the BNT, suggesting that they are more prevalent than recognized in both pre-and postsurgical epilepsy patients. Systematic investigation of these deficits could lead to more refined models of semantic memory, aid in the localization of seizures, and contribute to modifications in surgical technique and patient selection in epilepsy surgery to improve neurocognitive outcome. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Author ManuscriptNeuropsychologia. Author manuscript; available in PMC 2009 April 1.
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NIH-PA Author ManuscriptKeywords semantic memory; temporal lobe epilepsy; category-specific deficits; epilepsy surgery; naming deficits While several models of semantic memory exist, most agree that the temporal lobes play an important role in supporting this cognitive construct (Caramazza & Shelton, 1998;H. Damasio, Tranel, Grabowski, Adolphs, & Damasio, 2004;Gainotti, 2006). Research suggesting a role for the temporal lobes in semantic memory includes a variety of studies demonstrating deficits in this area in patients with TL impairment (Bayles, Tomoeda, & Trosset, 1990;Chan et al., 1993;Garrard, Lam...