Methods of measuring spatial
memory and their relationship to standard neuropsychology tests in persons with
hippocampal lesions
Preiss J.1, Kalová E.1, Štěpánková K.1, Bureš J.2, Vlček K.2
1Neurologické oddělení Nemocnice Na Homolce, Praha 2Fyziologický ústav Akademie věd České republiky, Praha |
|
Summary:
Goal: This study investigates the correlations of some novel methods of measuring spatial memory to
standard neuropsychological methods. Methods: In a laboratory established in the department of
Neurology, Hospital Na Homolce in Prague, modification of animal tests of spatial memory was used
for testing humans. Additionally, computer analogies of real navigation tests were made, which could
be applied for screening a large number of patients for detection of early symptoms of memory
disorders. The original 32 variables of spatial memory were converted to 7 variables. Among standard
neuropsychology tests, the WAIS-R, WMS-R, HRNB, WMS, Benton test of visual retention and Rey-Osterrieth
complex figure were used. Fifty-four patients participated in the study, including 37 patients
and 17 students. Among the patients, one subgroup (n=20) was scheduled for brain surgery for
pharmacoresistant epilepsy, usually hippocampectomy, another subgroup (n=17) had already undergone
a thermolesion of the amygdala-hippocampus complex. The students were without history of
neurological or psychiatric disorders. Results: A number of statistically significant correlations were
detected. For example, in a spatial memory variable Hidden Goal 1-4, the correlation of errors with
nonverbal intelligence is -0.636, p< 0.001,with verbal intelligence -0.403, p<0.05 at n=34. The General
Neuropsychological Deficit Scale, HRNB, is related to the number of errors in the spatial memory
variable Perception 2 and 6 (r = 0.800, p<0.01, n=15). Late beginning of epileptic disease is associated
with smaller occurrence of spatial memory errors (r = -0.360, p<0.05, n=29, variable Hidden Goal 1-4). Conclusion: The newly created tests of spatial memory, based upon modified tests of spatial navigation
in animals, as well as the derived computer analogies of real navigation tests are in humans also related
to intelligence, memory, neuropsychological deficit, education, age and the beginning of epileptic
disease.
Key words:
spatial memory, memory, spatial navigation, hippocampus, neuropsychology, epilepsy,
neurosurgery, amygdala-hippocampectomy, cognitive abilities, pre-surgical evaluation of epilepsy.
|