Abstract

Objective: The current study investigated the utility of the MoCA in screening for cognitive impairment and detecting memory deficits in a Puerto Rican sample diagnosed with Temporal Lobe Epilepsy (TLE) showing no significant limitations on their Instrumental Activities of Daily Living (IADl's). Method: Data were obtained from 24 TLE patients (69.6 % females and 30.4 % males, mean age = 49) referred by their neurologists for outpatient neuropsychological testing. Patients were independent in their IADL's showing below cut offs on a standardized functional capacity measure (FAQ mean of 4.59). Results: MoCA mean score was 24.8 (± 3.53), which represented below cutoffs scores for cognitive impairment. MMSE mean score was 26.2. In spite of normal MMSE scores (86.0% of the participants obtained MMSE Score > 25), cognitive impairment was detected in 62.5% of the patients. MMSE detected only 13.0%. Also, there were significant and positive correlations between the MoCA and three memory measures derived from the neuropsychological evaluation (Learning, Immediate recall and Delayed recall measures). MoCA total score correlates moderately significant with the RAVLT Total Learning (r = .496, p = .016); Logical Memory I (r = .438, p = .032); Logical Memory II (r = .630, p = .001) and Visual Memory II (r = .413, p = .050). A significant moderate and inverse relation (r = −.574, p = .017) correlated with the FAQ. Conclusion(s): The results obtained in the present study support utility of the MoCA in screening for cognitive impairment and detecting memory deficits in a Puerto Rican sample diagnosed with Temporal Lobe Epilepsy (TLE) showing no significant limitations on their Instrumental Activities of Daily Living (IADl's).