The Experts below are selected from a list of 32475 Experts worldwide ranked by ideXlab platform
Bruce P Hermann - One of the best experts on this subject based on the ideXlab platform.
-
ten things every neurologist needs to know about Neuropsychological Assessments and interventions in people with epilepsy
European Journal of Neurology, 2020Co-Authors: Sallie Baxendale, John T Langfitt, Christoph Helmstaedter, Sarah J Wilson, Gus A Baker, William B Barr, Bruce P Hermann, Gitta Reuner, Patricia RzezakAbstract:This paper describes 10 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 following headings. (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) Patients' 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 maximize 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 from that of the patient. (9) Adequate intervals between Assessments maximize 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.
-
indications and expectations for Neuropsychological Assessment in epilepsy surgery in children and adults
Epileptic Disorders, 2019Co-Authors: Sallie Baxendale, John T Langfitt, Christoph Helmstaedter, Sarah J Wilson, Gus A Baker, William B Barr, Bruce P Hermann, Gitta Reuner, Patricia Rzezak, Severine SamsonAbstract: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.
-
in response indications and expectations for Neuropsychological Assessment in routine epilepsy care report of the ilae neuropsychology task force diagnostic methods commission 2013 2017
Epilepsia, 2015Co-Authors: Sarah J Wilson, John T Langfitt, Christoph Helmstaedter, Sallie Baxendale, Gus A Baker, William B Barr, Severine Samson, Sherifa A Hamed, Masako Watanabe, Bruce P HermannAbstract:Summary The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a Neuropsychological Assessment? (2) Who should do a Neuropsychological Assessment? (3) When should people with epilepsy be referred for a Neuropsychological Assessment? and (4) What should be expected from a Neuropsychological Assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of Neuropsychological Assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of Neuropsychological Assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal Neuropsychological Assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the Assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth of scope of Neuropsychological Assessment, this report demonstrates the pivotal role played by this noninvasive and minimally resource intensive investigation in the care of people with epilepsy.
Sallie Baxendale - One of the best experts on this subject based on the ideXlab platform.
-
ten things every neurologist needs to know about Neuropsychological Assessments and interventions in people with epilepsy
European Journal of Neurology, 2020Co-Authors: Sallie Baxendale, John T Langfitt, Christoph Helmstaedter, Sarah J Wilson, Gus A Baker, William B Barr, Bruce P Hermann, Gitta Reuner, Patricia RzezakAbstract:This paper describes 10 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 following headings. (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) Patients' 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 maximize 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 from that of the patient. (9) Adequate intervals between Assessments maximize 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.
-
indications and expectations for Neuropsychological Assessment in epilepsy surgery in children and adults
Epileptic Disorders, 2019Co-Authors: Sallie Baxendale, John T Langfitt, Christoph Helmstaedter, Sarah J Wilson, Gus A Baker, William B Barr, Bruce P Hermann, Gitta Reuner, Patricia Rzezak, Severine SamsonAbstract: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.
-
in response indications and expectations for Neuropsychological Assessment in routine epilepsy care report of the ilae neuropsychology task force diagnostic methods commission 2013 2017
Epilepsia, 2015Co-Authors: Sarah J Wilson, John T Langfitt, Christoph Helmstaedter, Sallie Baxendale, Gus A Baker, William B Barr, Severine Samson, Sherifa A Hamed, Masako Watanabe, Bruce P HermannAbstract:Summary The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a Neuropsychological Assessment? (2) Who should do a Neuropsychological Assessment? (3) When should people with epilepsy be referred for a Neuropsychological Assessment? and (4) What should be expected from a Neuropsychological Assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of Neuropsychological Assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of Neuropsychological Assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal Neuropsychological Assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the Assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth of scope of Neuropsychological Assessment, this report demonstrates the pivotal role played by this noninvasive and minimally resource intensive investigation in the care of people with epilepsy.
-
beyond localization the role of traditional Neuropsychological tests in an age of imaging
Epilepsia, 2010Co-Authors: Sallie Baxendale, Pamela J ThompsonAbstract:Rapid advances in structural and functional magnetic resonance imaging (MRI) present two significant challenges to the rationale and role of the traditional Neuropsychological Assessment in the presurgical evaluation of epilepsy surgery candidates today. The first is a direct challenge to the model of material-specific memory that has underpinned much clinical practice over the last 50 years. The second, more fundamental, challenge goes to the very heart of the lateralizing/localizing approach that has been the cornerstone of clinical neuropsychology practice in epilepsy surgery centers to date. This review examines these challenges and suggests some ways in which the profession might respond and adapt. We conclude that noninvasive Neuropsychological Assessment remains a critical investigation in the presurgical evaluation of epilepsy surgery patients. Its value stretches beyond the localization of a surgically remediable seizure focus. Once a vital test, other investigations are now superior in this respect in many cases. However, new technologies have enhanced the role of the traditional Neuropsychological Assessment, which is now able to provide unparalleled insights and predictions into the way in which the underlying pathology, seizures, and proposed surgery shape an individual's profile of cognitive abilities. Detailed Neuropsychological feedback enables the patient to make an informed decision, and forms the basis of the tailor made preemptive rehabilitation programs that can be implemented preoperatively, minimizing the most significant morbidity associated with epilepsy surgery today.
Sarah J Wilson - One of the best experts on this subject based on the ideXlab platform.
-
ten things every neurologist needs to know about Neuropsychological Assessments and interventions in people with epilepsy
European Journal of Neurology, 2020Co-Authors: Sallie Baxendale, John T Langfitt, Christoph Helmstaedter, Sarah J Wilson, Gus A Baker, William B Barr, Bruce P Hermann, Gitta Reuner, Patricia RzezakAbstract:This paper describes 10 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 following headings. (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) Patients' 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 maximize 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 from that of the patient. (9) Adequate intervals between Assessments maximize 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.
-
indications and expectations for Neuropsychological Assessment in epilepsy surgery in children and adults
Epileptic Disorders, 2019Co-Authors: Sallie Baxendale, John T Langfitt, Christoph Helmstaedter, Sarah J Wilson, Gus A Baker, William B Barr, Bruce P Hermann, Gitta Reuner, Patricia Rzezak, Severine SamsonAbstract: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.
-
in response indications and expectations for Neuropsychological Assessment in routine epilepsy care report of the ilae neuropsychology task force diagnostic methods commission 2013 2017
Epilepsia, 2015Co-Authors: Sarah J Wilson, John T Langfitt, Christoph Helmstaedter, Sallie Baxendale, Gus A Baker, William B Barr, Severine Samson, Sherifa A Hamed, Masako Watanabe, Bruce P HermannAbstract:Summary The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a Neuropsychological Assessment? (2) Who should do a Neuropsychological Assessment? (3) When should people with epilepsy be referred for a Neuropsychological Assessment? and (4) What should be expected from a Neuropsychological Assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of Neuropsychological Assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of Neuropsychological Assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal Neuropsychological Assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the Assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth of scope of Neuropsychological Assessment, this report demonstrates the pivotal role played by this noninvasive and minimally resource intensive investigation in the care of people with epilepsy.
Uce P Herma - One of the best experts on this subject based on the ideXlab platform.
-
indications and expectations for Neuropsychological Assessment in routine epilepsy care report of the ilae neuropsychology task force diagnostic methods commission 2013 2017
Epilepsia, 2015Co-Authors: Sarah J Wilso, Sallie Axendale, William A, Sherifa A Hamed, Joh T Langfi, Severine Samso, Masako Watanabe, Gus A Ake, Christoph Helmstaedte, Uce P HermaAbstract:The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a Neuropsychological Assessment? (2) Who should do a Neuropsychological Assessment? (3) When should people with epilepsy be referred for a Neuropsychological Assessment? and (4) What should be expected from a Neuropsychological Assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of Neuropsychological Assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of Neuropsychological Assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal Neuropsychological Assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the Assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth of scope of Neuropsychological Assessment, this report demonstrates the pivotal role played by this noninvasive and minimally resource intensive investigation in the care of people with epilepsy.
Masako Watanabe - One of the best experts on this subject based on the ideXlab platform.
-
indications and expectations for Neuropsychological Assessment in routine epilepsy care report of the ilae neuropsychology task force diagnostic methods commission 2013 2017
Epilepsia, 2015Co-Authors: Sarah J Wilso, Sallie Axendale, William A, Sherifa A Hamed, Joh T Langfi, Severine Samso, Masako Watanabe, Gus A Ake, Christoph Helmstaedte, Uce P HermaAbstract:The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a Neuropsychological Assessment? (2) Who should do a Neuropsychological Assessment? (3) When should people with epilepsy be referred for a Neuropsychological Assessment? and (4) What should be expected from a Neuropsychological Assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of Neuropsychological Assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of Neuropsychological Assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal Neuropsychological Assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the Assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth of scope of Neuropsychological Assessment, this report demonstrates the pivotal role played by this noninvasive and minimally resource intensive investigation in the care of people with epilepsy.
-
in response indications and expectations for Neuropsychological Assessment in routine epilepsy care report of the ilae neuropsychology task force diagnostic methods commission 2013 2017
Epilepsia, 2015Co-Authors: Sarah J Wilson, John T Langfitt, Christoph Helmstaedter, Sallie Baxendale, Gus A Baker, William B Barr, Severine Samson, Sherifa A Hamed, Masako Watanabe, Bruce P HermannAbstract:Summary The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a Neuropsychological Assessment? (2) Who should do a Neuropsychological Assessment? (3) When should people with epilepsy be referred for a Neuropsychological Assessment? and (4) What should be expected from a Neuropsychological Assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of Neuropsychological Assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of Neuropsychological Assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal Neuropsychological Assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the Assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth of scope of Neuropsychological Assessment, this report demonstrates the pivotal role played by this noninvasive and minimally resource intensive investigation in the care of people with epilepsy.
