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January 01, 2019; 92 (1) Editorial

Naming things

Its importance in youth with epilepsy

Bruce P. Hermann, Benjamin Tolchin
First published December 5, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006680
Bruce P. Hermann
From the Department of Neurology (B.P.H.), University of Wisconsin School of Medicine and Public Health, Madison; Epilepsy Center of Excellence (B.T.), VA Connecticut Healthcare System, West Haven; and Comprehensive Epilepsy Center (B.T.), Department of Neurology, Yale University School of Medicine, New Haven, CT.
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Benjamin Tolchin
From the Department of Neurology (B.P.H.), University of Wisconsin School of Medicine and Public Health, Madison; Epilepsy Center of Excellence (B.T.), VA Connecticut Healthcare System, West Haven; and Comprehensive Epilepsy Center (B.T.), Department of Neurology, Yale University School of Medicine, New Haven, CT.
MD, MS
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Naming things
Its importance in youth with epilepsy
Bruce P. Hermann, Benjamin Tolchin
Neurology Jan 2019, 92 (1) 13-14; DOI: 10.1212/WNL.0000000000006680

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Neuropsychological assessment is undertaken in epilepsy surgery candidates for a number of reasons. One of the primary purposes is to provide information of relevance to the lateralization and localization of the seizure onset zone. Naming tasks are among the most predictive of the laterality of temporal lobe epilepsy in adults.1,2 Auditory naming in this population is more predictive than traditional visual object naming, as assessed by classic measures such as the Boston Naming Test (BNT).3 The pediatric epilepsy literature is less clear in this regard, with multiple studies showing no association between naming performance and laterality of temporal lobe epilepsy.4 This difference has been attributed by some to developmental differences between children and adults: specifically, the burgeoning specialization and localization of language functions in children.5 The competing hypothesis is that previously used assessments of naming ability, and especially visual naming, were designed for and validated in adult populations and were developmentally inappropriate and inaccurate in pediatric populations. Hamberger and her colleagues6 have recently developed and validated age-appropriate visual and auditory naming tests for children.

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  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.

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  • © 2018 American Academy of Neurology
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