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Assessing Executive Function in Patients With Temporal Lobe Epilepsy Through a Game-Based Assessment Task.

Guang Yao1,2, Shirui Wen3,4, Quanji Li1

  • 1Department of Neurology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China, csu.edu.cn.

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|April 13, 2026
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Summary

Temporal lobe epilepsy (TLE) patients show executive function (EF) deficits. A game-based tool, the EFAT, effectively identified these impairments, offering a new assessment method.

Keywords:
executive functionset-shifting abilitytemporal lobe epilepsyvideo game

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Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Clinical Neurology

Background:

  • Temporal lobe epilepsy (TLE) is frequently associated with executive function (EF) impairments.
  • There is a need for accessible and quantitative methods to assess EF deficits in TLE.
  • Executive functions are crucial for daily living and are often compromised in neurological conditions.

Purpose of the Study:

  • To evaluate the performance of a game-based executive function assessment tool (EFAT) in TLE patients.
  • To compare EFAT performance between TLE patients and healthy controls (HCs).
  • To determine if EFAT metrics correlate with traditional neuropsychological tests.

Main Methods:

  • Thirty-two TLE patients and 29 HCs completed standardized tests (Stroop Color-Word Test, Trail Making Test) and the EFAT.
  • Key EFAT metrics analyzed included touches, correct guesses, accuracy, and learning latency.
  • Statistical analyses compared EFAT and traditional test performance between groups.

Main Results:

  • TLE patients demonstrated significant EF deficits compared to HCs on TMT and SCWT.
  • In the EFAT, TLE patients had more touches, fewer correct guesses, and lower accuracy.
  • EFAT metrics showed significant correlations with TMT scores, indicating convergent validity.

Conclusions:

  • The EFAT successfully identified executive deficits in TLE patients.
  • The game-based tool provides an objective and engaging complementary method for EF assessment.
  • Findings support the preliminary clinical applicability of the EFAT for TLE.