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Title: Ten things every neurologist needs to know about neuropsychological assessments and interventions in people with epilepsy.
Austin Authors: Baxendale, Sallie A;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: Department of Clinical and Experimental Epilepsy, Institute of Neurology, UCL, London
Departments of Neurology & Psychiatry, NYU School of Medicine, New York, USA
Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
Departments of Neurology and Psychiatry, University of Rochester School of Medicine, Rochester, New York, USA
Department of Neurology, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin, USA
University Department of Neurosciences, Walton Centre for Neurology and Neurosurgery, Liverpool, UK
Department of Epileptology, University of Bonn, Bonn, Germany
Center for Child and Adolescent Medicine, University Hospital, Heidelberg and Institute for Educational Studies, Ruprecht-Karls-University Heidelberg, Germany, Medical Department, University of Heidelberg, Germany
Institute and Department of Psychiatry, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Brazil
Epilepsy Unit, la Pitié-Salpêtrière Hospital, Paris, France and Neuropsychology and Auditory Cognition, University of Lille, France
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: 14-Oct-2019
Date: 2019-10-14
Publication information: European journal of neurology 2019; online first: 14 October
Abstract: This paper describes ten core features of a neuropsychological assessment with the aim of helping neurologists understand the unique contribution the evaluation can make within the wider context of diagnostic methods in epilepsy. The possibilities, limitations and cautions associated with the investigation are discussed under the headings below: 1. A neuropsychological assessment is a collaborative investigation. 2. Assessment prior to treatment allows for the accurate assessment of treatment effects. 3. The nature of an underlying lesion and its neurodevelopmental context play an important role in shaping the associated neuropsychological deficit. 4. Cognitive and behavioural impairments result from the essential comorbidities of epilepsy which can be considered as much a disorder of cognition and behaviour as of seizures. 5. Patient's subjective complaints can help us understand objective cognitive impairments and their underlying neuroanatomy, resulting in improved patient care. At other times, patient complaints reflect other factors and require careful interpretation. 6. The results from a neuropsychological assessment can be used to maximise the educational and occupational potentials of people with epilepsy. 7. Not all patients are able to engage with a neuropsychological assessment. 8. There are limitations in assessments conducted in a second language with tests that have been standardized on different populations to that of the patient. 9. Adequate intervals between assessments maximise sensitivity to meaningful change. 10. Patients should be fully informed about the purpose of the assessment and have realistic expectations of the outcome prior to referral.
DOI: 10.1111/ene.14104
Journal: European journal of neurology
PubMed URL: 31610070
Type: Journal Article
Subjects: Epilepsy
Appears in Collections:Journal articles

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