Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/21513
Title: Indications and expectations for neuropsychological assessment in epilepsy surgery in children and adults.
Authors: Baxendale, Sallie;Wilson, Sarah J;Baker, Gus A;Barr, William;Helmstaedter, Christoph;Hermann, Bruce P;Langfitt, John;Reuner, Gitta;Rzezak, Patricia;Samson, Séverine;Smith, Mary-Lou
Affiliation: University Department of Neurosciences, Walton Centre for Neurology and Neurosurgery, Liverpool, UK
Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
Department of Clinical and Experimental Epilepsy, Institute of Neurology, UCL, London, UK
Epilepsy Unit, la Pitié-Salpêtrière Hospital, Paris, France and Neuropsychology and Auditory Cognition, University of Lille, France
Departments of Neurology & Psychiatry, NYU School of Medicine, New York, USA
Department of Epileptology, University of Bonn, Bonn, Germany
Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
Departments of Neurology and Psychiatry, University of Rochester School of Medicine, Rochester, New York, USA
Medical Department, University of Heidelberg, Germany
Institute and Department of Psychiatry, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Brazil
Department of Psychology, University of Toronto Mississauga and Neurosciences and Mental Health Program, The Hospital for Sick Children, Toronto, Canada
Comprehensive Epilepsy Program, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 1-Jun-2019
Citation: Epileptic disorders : international epilepsy journal with videotape 2019; 21(3): 221-234
Abstract: In our first paper in this series (Epilepsia 2015; 56(5): 674-681), we published recommendations for the indications and expectations for neuropsychological assessment in routine epilepsy care. This partner paper provides a comprehensive overview of the more specialist role of neuropsychological assessment in the pre and postoperative evaluation of epilepsy surgery patients. The paper is in two parts. The first part presents the framework for the mandatory role of neuropsychologists in the presurgical evaluation of epilepsy surgery candidates. A preoperative neuropsychological assessment should be comprised of standardised measures of cognitive function in addition to wider measures of behavioural and psychosocial function. The results from the presurgical assessment are used to: (1) establish a baseline against which change can be measured following surgery; (2) provide a collaborative contribution to seizure characterization, lateralization and localization; (3) provide evidence-based predictions of cognitive risk associated with the proposed surgery; and (4) provide the evidence base for comprehensive preoperative counselling, including exploration of patient expectations of surgical treatment. The second part examines the critical role of the neuropsychologist in the evaluation of postoperative outcomes. Neuropsychological changes following surgery are dynamic and a comprehensive, long-term assessment of these changes following surgery should form an integral part of the postoperative follow-up. The special considerations with respect to pre and postoperative assessment when working with paediatric populations and those with an intellectual disability are also discussed. The paper provides a summary checklist for neuropsychological involvement throughout the epilepsy surgery process, based on the recommendations discussed.
URI: http://ahro.austin.org.au/austinjspui/handle/1/21513
DOI: 10.1684/epd.2019.1065
PubMed URL: 31262718
Type: Journal Article
Subjects: ILAE
adult
assessment
epilepsy surgery
guidelines
neuropsychology
outcome
paediatric
Appears in Collections:Journal articles

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