Cited by 197Epilepsy research and treatmentNeural and Behavioral Psychology StudiesHistorical and Modern Theater Studies

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A Role for the Hippocampus in Card Sorting?

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Corcoran, Rhiannon, Upton, Dominic·1993·Cortex

DOI 10.1016/s0010-9452(13)80182-7

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Abstract

This study examines the performance of three groups of patients with epilepsy on three measures typically used to assess the integrity of the frontal lobes: the Modified Wisconsin Card Sorting Test (MWCST), verbal fluency and the Stroop test. The groups comprised sixteen patients with clearly defined hippocampal sclerosis, thirteen patients with unilateral temporal lobe seizure onset and eighteen patients with unilateral frontal lobe onset. Results demonstrated that performance on the MWCST was most compromised by hippocampal sclerosis. These patients took longer to complete the task, achieved fewer categories and made more perseverative errors than patients in the other groups. In contrast, verbal fluency and performance on the Stroop test were less affected by the presence of hippocampal sclerosis. These results have both clinical and theoretical significance. It is argued that patients with hippocampal damage perform poorly on the MWCST because of the heavy working memory requirements of the test. Cautious use of this test as a tool to localise seizure origin in patients with complex partial seizures is therefore recommended. The findings are discussed in terms of Gray's (1982) model of the hippocampus as a comparator of actions.

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Authors: Corcoran, R., & Upton, D.
Affiliations: UCL Queen Square Institute of Neurology (GB)
National Hospital for Neurology and Neurosurgery (GB)
ORCID: Corcoran, Rhiannon
Upton, Dominic
Venue: Cortex
Publisher: Elsevier BV
Published: 1993-06
Volume: 29
Issue: 2
Pages: 293-304
ISSN: 0010-9452 (ISSN-L)
DOI: 10.1016/s0010-9452(13)80182-7
OpenAlex: W2004181597
Cited by: 195
References: 35
Citations by year: 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 10 · 2016: 6 · 2015: 5 · 2014: 9 · 2013: 6 · 2012: 8
FWCI: 5.85
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 10304 d)
Locations: Cortex (publishedVersion)
PubMed (publishedVersion)
Worcester Research and Publications (University of Worcester) (submittedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords: hippocampus, hippocampal sclerosis, epilepsy, perseverative errors, verbal fluency, Stroop task, working memory, frontal lobe function, temporal lobe epilepsy, frontal lobe epilepsy, complex partial seizures
MeSH terms: Adolescent, Adult, Brain Damage, Chronic, Brain Neoplasms, Discrimination Learning, Dominance, Cerebral, Epilepsy, Temporal Lobe, Female, Frontal Lobe, Hippocampus, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neural Pathways, Neuropsychological Tests, Mental Recall, Temporal Lobe, Epilepsy, Frontal Lobe

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A Role for the Hippocampus in Card Sorting?

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