Objective:Research on the lateralizing value of neuropsychological tests is limited among Latino people with epilepsy (PWE). This study aims to evaluate the utility of two confrontation naming measures in laterality determination.Method:Data were collected from 71 Latino PWE who completed the Vocabulario Sobre Dibujos (VSD) and the Pontón-Satz Modified Boston Naming Test (MBNT). Raw and standardized scores were examined to determine diagnostic accuracy for predicting left hemisphere (LH) epilepsy for the full sample and using a sample-specific median split of educational attainment.Results:The MBNT demonstrated adequate classification accuracy (65.7%, 77.1%) as did the VSD (54.3%, 74.3%) for predicting LH seizure laterality using raw and standardized scores, respectively. For participants with ≥ 9 years of education (HEdu), receiver operator characteristic curve analyses showed a raw/percentile cutoff of ≤ 26/≤ 5th on the VSD, yielding 53%–58% sensitivity/87%–83% specificity. A raw score cutoff of ≤ 17 on MBNT produced 47% sensitivity/78% specificity for HEdu participants.Conclusions:The VSD was found to have greater flexibility in determining cutoff scores using either raw or standardized scores for predicting seizure laterality. This study provides interpretation guidance, emphasizing education as a pertinent variable, to optimize lateralization accuracy for Latino PWE.

中文翻译：

---

两种对抗命名措施在讲西班牙语的癫痫患者中的临床比较

目的：在拉丁裔癫痫患者 (PWE) 中，对神经心理测试的偏侧化价值的研究有限。本研究旨在评估两种对抗命名措施在确定偏侧性方面的效用。方法：从完成 Vocabulario Sobre Dibujos (VSD) 和 Pontón-Satz 修改波士顿命名测试 (MBNT) 的 71 名拉丁裔 PWE 收集数据。检查原始和标准化分数以确定预测整个样本的左半球 (LH) 癫痫的诊断准确性，并使用特定样本的教育程度中位数分割。结果：MBNT 表现出足够的分类准确性（65.7%，77.1%），如分别使用原始评分和标准化评分进行 VSD（54.3%、74.3%）预测 LH 癫痫发作偏侧性。对于受过 9 年以上教育 (HEdu) 的参与者，th在 VSD 上，产生 53%–58% 的灵敏度/87%–83% 的特异性。MBNT 的原始分数截止值≤ 17 对 HEdu 参与者产生了 47% 的敏感性/78% 的特异性。结论：发现 VSD 在使用原始或标准化分数来预测癫痫发作偏侧性来确定截止分数方面具有更大的灵活性。本研究提供解释指导，强调教育是一个相关变量，以优化拉丁裔 PWE 的侧化准确性。