Established Applications of Neuropsychological Evaluation

Applications of Neuropsychological Evaluations include the following:

  • Provide a differential diagnosis of organic and functional pathologies
  • Assess for dementia versus pseudodementia
  • Determine the presence of epilepsy versus somatoform disorder (that is, nonepileptic seizures or pseudoseizures)
  • Determine the presence of traumatic brain injury (TBI)  sequelae versus malingering or unconscious highlighting
  • Guide rehabilitation programs and monitor patient progress
  • Guide the therapist in referring to specialists
  • Provide data to guide decisions about the patient's condition, such as the following:
    • Competency to manage legal and financial affairs
    • Capacity to participate in medical and legal decision making
    • Ability to live independently or with supervision
    • Ability to return to work and school affairs
    • Candidacy for transplants
  • Provide data to guide the following assessments and procedures:
    • Evaluation of the cognitive effects of various medical disorders and associated interventions
    • Assessment of tests for diabetes mellitus, chronic obstructive pulmonary disease (COPD), hypertension, human immunodeficiency virus (HIV) infection, coronary artery bypass graft (CABG), and clinical drug trials
    • Assessment of CNS lesions and/or seizure disorders before and after surgical interventions, including corpus callosotomy, focal resection (eg, topectomy, lobectomy), and multiple subpial transection
    • Monitoring the effects of pharmacologic interventions
    • Documenting the cognitive effects of exposure to neurotoxins
    • Documenting adverse effects of whole brain irradiation in children
    • Comparing with guidelines for electroconvulsive therapy (ECT) influenced by standardized evaluation of memory
    • Standard protocols for assessment of specific disorders, such as dementia of the Alzhiemer type, multiple sclerosis, TBI , and stroke .

*Developmental disorders (eg, specific learning disabilities) require detailed assessment of cognition, academic achievement, psychosocial adjustment for proper identification and as a guide to their management. Academic placement in special education and resource classrooms may be needed.

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