Neuropsychological Assessment

Braun, Michelle; Tupper, David E.; Kaufmann, Paul; McCrea, Michael; Postal, Karen; Westerveld, Michael; Wills, Karen; Deer, Teresa M.

doi:10.1097/wnn.0b013e3182351289

Cited by 54 publications

(20 citation statements)

References 143 publications

(116 reference statements)

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“…Additionally, the need for neuropsychological evaluation for patients with medical and neurological conditions did not change despite COVID-19. Referring providers still sought input from neuropsychology regarding brain functioning and differential diagnoses to inform intervention recommendations (for discussion of evaluation benefits, see Braun et al, 2011;Donders, 2020). Following APA ethical principles (e.g., Principle A, Beneficence and Nonmaleficence; 2017), it was important to strive to provide benefit to our pediatric neuropsychology patients, while at the same time being careful to do no harm.…”

Section: Meeting Patients' Needsmentioning

confidence: 99%

“How to” operate a pediatric neuropsychology practice during the COVID-19 pandemic: Real tips from one practice’s experience

Loman

Vogt

Miller

et al. 2020

Child Neuropsychology

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This paper aims to provide pediatric neuropsychologists with suggested processes and procedures to continue to provide neuropsychology services during the COVID-19 global pandemic. Our practice is located within an academic medical center/children's hospital, and setting-specific recommendations may not extend to all practices, though our hope is that others find guidance from our approach to providing pediatric neuropsychology evaluations when physical distancing is required. With consideration of ethics, equity, and assessment validity, we provide suggestions for a) modifying practices around seeing patients during COVID-19, b) tele-health for the pediatric neuropsychologist, c) safety standards and requirements, and d) working with special populations (e.g., Autism Spectrum Disorder, bilingual populations, immunocompromised patients, and acute inpatient assessment).

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Section: Meeting Patients' Needsmentioning

confidence: 99%

“How to” operate a pediatric neuropsychology practice during the COVID-19 pandemic: Real tips from one practice’s experience

Loman

Vogt

Miller

et al. 2020

Child Neuropsychology

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“…Additionally, in vivo measures such as CSF and serum amyloid, CSF pTau, and PET studies are not performed routinely in hospital settings. To this end, neurologists, psychiatrists, and geriatricians typically rely on a combination of clinical interviews, physical examinations, laboratory tests, neuroimaging (CT, MRI, SPECT) studies, and neuropsychological assessments as part of the diagnostic workup [18,19].…”

Section: Dementia Diagnosismentioning

confidence: 99%

Hit or Miss? Diagnostic contributions of neuropsychological assessment in patients with suspected dementia

Pinsker¹,

Lo²,

Haslam³

et al. 2018

IJCNMH

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Objectives: Accurate early diagnosis of dementia has important implications for prognosis, treatment, and management. In hospital settings, neuropsychological assessment is frequently included in the diagnostic work-up for dementia, particularly in clinically ambiguous cases. However, the diagnostic contributions of neuropsychological testing in this population are not well established. This paper reports the findings from a preliminary study examining the diagnostic utility of such assessment in patients with suspected dementia. Methods:A retrospective review of hospital medical records was performed for 84 patients who underwent neuropsychological assessment for diagnostic purposes within a five-year time frame. A proxy measure of diagnostic accuracy was obtained using the level of agreement between the neuropsychologist's opinion and the most recent working diagnosis of the medical treatment provider, allowing a minimum follow-up period of twelve months. Results:Using defined clinical coding criteria to account for differences between clinical conditions (e.g., mild neurocognitive disorder) and underlying pathology (e.g., Alzheimer's disease), the baseline diagnosis of the neuropsychologist concurred with the most recent diagnosis of the treatment provider in 88% of cases with an exact match in 77% of cases. Follow-up neuropsychological assessments over time did not lead to a significant improvement in diagnostic accuracy. Conclusion:A high level of diagnostic agreement emerged between neuropsychology and treating medical consultant opinions, independent of available neuroimaging evidence. The findings highlight the contribution of neuropsychological testing in the diagnosis of dementia in hospital settings. Replication of these results is required using prospective designs, larger samples, multiple sites, and autopsy confirmed diagnoses.

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“…Conscious state has phenomenal contents by default, characterized by variable qualia present in direct experience and appearing to a subject with variable “vividness” or “clarity.” The basic conscious aware/awake state also varies along a continuum of levels, specified as a position on a scale above unconsciousness – e.g., from dream consciousness in REM sleep, drowsiness, up to fully alert awake consciousness (Laureys and Tononi, 2009; Seth et al, 2011). The levels have been typically defined by objective indices of arousal and responsiveness where a mixture of objective physiological measurements and behavioral responses by subjects has been used; contents are defined by subjects’ reports (Laureys, 2005; Laureys and Tononi, 2009; Hudetz and Pearce, 2010; Cavanna et al, 2011). …”

Section: Introductionmentioning

confidence: 99%

How to Begin to Overcome the Ambiguity Present in Differentiation between Contents and Levels of Consciousness?

Bachmann¹

2012

Front. Psychology

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Recently, a welcome trend has emerged – in addition to the traditional studies on contents and states of consciousness, levels of consciousness have become a matter of research. However, there are some conceptual and methodological difficulties with this research – the labels used for empirical measurement of levels are ambiguous and underspecified while the research on neural correlates of consciousness has not been well linked to psychophysical approaches to studying the levels of consciousness. This article suggests a perspective on how to advance the psychophysics of measuring the levels by precisely specifying level-specific contents and how to relate the distinction between contents and levels to the distinction between the underlying brain mechanisms necessary for processing contents and regulating the level of consciousness.

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Neuropsychological Assessment

Cited by 54 publications

References 143 publications

“How to” operate a pediatric neuropsychology practice during the COVID-19 pandemic: Real tips from one practice’s experience

“How to” operate a pediatric neuropsychology practice during the COVID-19 pandemic: Real tips from one practice’s experience

Hit or Miss? Diagnostic contributions of neuropsychological assessment in patients with suspected dementia

How to Begin to Overcome the Ambiguity Present in Differentiation between Contents and Levels of Consciousness?

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