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Systematic Review of Cognitive Function in Euthymic Bipolar Disorder and Pre-Surgical Temporal Lobe Epilepsy


Bostock, EC and Kirkby, KC and Garry, MI and Taylor, BVM, Systematic Review of Cognitive Function in Euthymic Bipolar Disorder and Pre-Surgical Temporal Lobe Epilepsy, Frontiers in Psychiatry, 8 Article 133. ISSN 1664-0640 (2017) [Refereed Article]


Copyright Statement

Copyright 2017 Bostock, Kirkby, Garry and Taylor. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.3389/fpsyt.2017.00133


Background: Bipolar disorder (BD) and temporal lobe epilepsy (TLE) overlap in domains including epidemiology, treatment response, shared neurotransmitter involvement and temporal lobe pathology. Comparison of cognitive function in both disorders may indicate temporal lobe mediated processes relevant to BD. This systematic review examines neuropsychological test profiles in euthymic bipolar disorder type I (BD-I) and pre-surgical TLE and compares experimental designs used.

Methods: A search of PubMed, PsychINFO, and Scopus using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted. Inclusion criteria were comparison group or pre- to post-surgical patients; reported neuropsychological tests; participants aged 1860 years. Fifty six studies met criteria: 27 BD-I; 29 TLE.

Results: Deficits in BD-I compared to healthy controls (HC) were in executive function, attention span and verbal memory. Deficits in TLE compared to HC were in executive function and memory. In the pre- to post-surgical comparisons, verbal memory in left temporal lobe (LTL) and, less consistently, visuospatial memory in right temporal lobe (RTL) epilepsy declined following surgery. BD-I studies used comprehensive test batteries in well-defined euthymic patients compared to matched HC groups. TLE studies used convenience samples pre- to post-surgery, comparing LTL and RTL subgroups, few included comparisons to HC (5 studies). TLE studies typically examined a narrow range of known temporal lobe-mediated neuropsychological functions, particularly verbal and visuospatial memory.

Conclusion: Both disorders exhibit deficits in executive function and verbal memory suggestive of both frontal and temporal lobe involvement. However, deficits in TLE are measured pre- to post-surgery and not controlled at baseline pre-surgery. Further research involving a head-to-head comparison of the two disorders on a broad range of neuropsychological tests is needed to clarify the nature and extent of cognitive deficits and potential overlaps.

Item Details

Item Type:Refereed Article
Keywords:bipolar disorder, temporal lobe, focal seizures neuropsychology, cognition, epilepsy, systematic review
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Bostock, EC (Dr Emmanuelle Bostock)
UTAS Author:Kirkby, KC (Professor Kenneth Kirkby)
UTAS Author:Garry, MI (Associate Professor Michael Garry)
UTAS Author:Taylor, BVM (Professor Bruce Taylor)
ID Code:120512
Year Published:2017
Web of Science® Times Cited:8
Deposited By:Medicine
Deposited On:2017-08-28
Last Modified:2018-09-11
Downloads:122 View Download Statistics

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