Table 2.
Select Results of Neurocognitive Testing During Neuropsychological Assessment with Simultaneous EEG Recordings for Patient 2.
Tests Administered | Test Scores | EEG Status at Time of Specific Test |
---|---|---|
General IQ | WAIS-IV FSIQ = 110, VCI = 114, PRI = 105 |
Some subtests administered during epileptiform discharges, and others during afternoon when IEDs were absent |
Performance Validity Testing |
Failed 1/3 effort measures from the Word Memory Test (oral version), and produced a genuine impairment profile |
Epileptiform activity present immediately prior to test performance (occasional TL spikes) |
Boston Naming Test | Raw = 56/60, WNL | This test was completed during the afternoon after epileptiform activity had ceased for more than 2 hours. |
Complex List Learning | Rey Auditory Verbal Learning Test | Epileptiform activity present immediately prior to and during test performance (theta activity) |
Trial 1 = 6/15, Z= −1.53, 6th %ile | ||
Trial 5 = 6/15, Z= −3.0, 1st %ile | ||
5-Trial Total = 27/75, Z= −3.0, 1st %ile | ||
Immediate = 0/15, Z= −4.0, <1st %ile | ||
Delayed = 2/15, Z= −3.0, 1st %ile | ||
Recognition = 3/15, Z= −4.0, <1st %ile | ||
WMS-IV Logical Memory | This test was completed during the afternoon after epileptiform activity had ceased for more than 2 hours. |
|
Immediate Recall: | Raw = 41, SS = 10, 50th %ile | |
Delayed Recall: | Raw = 22, SS = 9, 37th %ile | |
Recognition = 23/30, low average | ||
WMS Verbal Paired Associates |
This test was completed during the afternoon after epileptiform activity had ceased for more than 2 hours. |
|
Immediate: | Raw = 20; Z= −0.50; 30th %ile | |
Delayed: | Raw = 8; Z= 0.54; 70th %ile | |
WMS-III Visual | This test was completed during the morning, shortly after IEDs were present. |
|
Reproduction | ||
Immediate: | Raw = 13, 95th %ile | |
Delayed: | Raw = 2, 1st %ile | |
Recognition: | Raw = 3/4, Low Average | |
Rey Complex Figure Test | This test was completed during the afternoon after epileptiform activity had ceased for more than 2 hours. |
|
Copy Task: | Raw = 36/36, Average | |
Immediate Recall: | Raw = 20.5, 21st %ile | |
Delayed Recall: | Raw = 16.5, 4th %ile |
Note. IQ = intellectual quotient, WAIS-IV = Wechsler Adult Intelligence Scale (4th edition), FSIQ = Full Scale IQ, VCI = Verbal Comprehension Index, PRI = Perceptual Reasoning Index, IEDs = Interictal Epileptiform Discharges, WMS-IV = Wechsler Memory Scale (4th edition), WMS = Wechsler Memory Scale.