Neuropsychological Factors Related to Employability and Occupational Status in Persons with Epilepsy

Dikmen, Sureyya; Morgan, Steven F.

doi:10.1097/00005053-198004000-00008

Cited by 58 publications

(33 citation statements)

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“…In another study, most of the unemployed penetrating wound cases had right-sided foci and constructional deficits (Kaufman et al, 1985). Finally, neuropsychological tests maximally sensitive to BPPD lesions are among the best predictors of vocational outcome (Boake et al, 1997;Dennerl et al, 1966;Dikmen and Morgan, 1980;Heaton et al, 1978;Heaton and Pendleton, 1981;Ruff et al, 1993).…”

Section: Cumulative Effects: Global Maladaptationmentioning

confidence: 92%

Broad-Perspective Perceptual Disorder of the Right Hemisphere

Schutz

2005

Neuropsychol Rev

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Traditional accounts of right-posterior brain injury describe a syndrome of low-level perceptual sequelae producing marked acute dependency and transient safety concerns. The syndrome is also held to spare cognition and to carry a generally favorable long-term prognosis. The present paper reviews publications and anecdotal data that challenge this picture. Recent theoretical expositions and empirical studies stipulate three major cognitive functions of the right posterior association cortex: processing novel input, guiding reactions to emergencies, and anticipating consequences. Appearing benign after acute recovery, the impairment of these processes produces vocational, social and marital dysfunctions that increase as a function of chronicity, ultimately becoming more broadly disabling than focal injuries in other cortical loci. The unique symptom picture and serious implications suggest that the long-term syndrome should be labeled (Broad-Perspective Perceptual Disorder) and incorporated in future clinical taxonomies, underscoring the need for extraordinary long-term assistance and specialized therapeutics. Procedures for assessment and differential diagnosis are outlined.

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Section: Cumulative Effects: Global Maladaptationmentioning

confidence: 92%

Broad-Perspective Perceptual Disorder of the Right Hemisphere

Schutz

2005

Neuropsychol Rev

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“…Given that motor and sensory cerebral regions and the cerebellum may be injured, particularly with moderate and severe TBI, motor speed, dexterity and strength need to be assessed with tests such as, the Finger Tapping test (Reitan & Wolfson, 1993), Grooved Pegboard test (Tiffin, 1968) and Grip Strength test (Reitan & Wolfson, 1993), respectively. Finger tapping performance is moderately predictive of daily living skills in TBI patients (Prigatano, Altman, & O'Brien, 1990) and employment status (Dikmen & Morgan, 1980). As long-term outcome following TBI is dependent personality variables, mood and affect, these variables need to be assessed in a neuropsychological evaluation.…”

Section: General Description Reliability Data Validity Datamentioning

confidence: 99%

Call for an Integrative and Multi-Disciplinary Approach to Traumatic Brain Injury (TBI)

Mansour¹,

Lajiness-O’Neill²

2015

PSYCH

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Much has been gained in our understanding of the psychopathology, assessment, and treatment of TBI. Still lacking is the breadth and depth that an integrative and multi-disciplinary approach to TBI portends. While there is a greater awareness of a need for such a systems-based approach as evidenced by the number of professional organizations and government agencies recently advocating a need for standardization in the collection data in TBI, the application of multi-dimensional approach, and the development novel strategies to deliver prevention, assessment and treatment to large, diverse populations, we are still in the early stages in making this important shift. In the nearer term, there are clinical assessment and interventional programs that can be developed and empirically validated to bring us closer to this integrative, multi-disciplinary ideal. The following review calls for a universal diagnostic classification system for TBI, integration of pathophysiology and pharmacological and rehabilitative therapies, development of treatments addressing disorders comorbid with TBI, and the delivery of assessment and treatment services to large underserved populations.

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“…Many times epilepsy presents as a difficult diagnostic or differential diagnostic challenge, and because of their sensitivity to the cognitive deficits that may arise in association with the appearance of seizures, or as a function of the underlying neuropathology, neuropsychological assessment procedures have a potentially valuable role to play in the diagnostic process. The many ways in which neuropsychological findings may be of value in the assessment, treatment, and rehabilitation of individuals with epilepsy has been discussed elsewhere (Dikmen, 1980;Dikmen & Morgan, 1980;Dodrill, 198 la;Fraser, 1980). In an attempt to determine the ability of the Luria-Nebraska Neuropsycho-…”

Section: Please Scroll Down For Articlementioning

confidence: 99%

Identification of neuropsychological deficits in epilepsy using the Luria-Nebraska neuropsychological battery: A replication attempt

Hermann

Melyn

1985

Journal of Clinical and Experimental Neuropsychology

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Using the Luria-Nebraska Neuropsychological Battery (LNNB), Berg and Golden (1981) assessed 40 patients with epilepsy and reported a hit rate of 77.3% for idiopathic epilepsy and 88.9% for symptomatic epilepsy (82.5% overall). The purpose of this investigation was to attempt to replicate their important findings. A consecutive series of 31 patients with epilepsy was administered the LNNB and we obtained a hit rate of 47% for idiopathic epilepsy and 30% for symptomatic epilepsy (41% overall). Four possible methodological reasons for these disparate findings were offered.

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Neuropsychological Factors Related to Employability and Occupational Status in Persons with Epilepsy

Cited by 58 publications

References 0 publications

Broad-Perspective Perceptual Disorder of the Right Hemisphere

Broad-Perspective Perceptual Disorder of the Right Hemisphere

Call for an Integrative and Multi-Disciplinary Approach to Traumatic Brain Injury (TBI)

Identification of neuropsychological deficits in epilepsy using the Luria-Nebraska neuropsychological battery: A replication attempt

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