Baxendale Sallie
Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London WC1N 3BG, UK.
Pract Neurol. 2018 Feb;18(1):43-48. doi: 10.1136/practneurol-2017-001827. Epub 2018 Jan 11.
The role of the neuropsychological assessment in the management of people with epilepsy has evolved considerably over the past 25 years. This paper describes some of the most common applications of a neuropsychological assessment in the diagnosis, management and treatment of people with epilepsy. It describes the factors that influence the interpretation of neuropsychological test scores in this patient group and outlines the limitations of the investigation. It gives guidelines for the optimal timing of a referral, together with timelines and indications for reassessment, and provides a checklist to help the referring clinician get the most from a neuropsychological assessment for their patients with epilepsy.
在过去25年里,神经心理学评估在癫痫患者管理中的作用有了相当大的发展。本文描述了神经心理学评估在癫痫患者诊断、管理和治疗中的一些最常见应用。它阐述了影响该患者群体神经心理学测试分数解读的因素,并概述了该检查的局限性。它给出了转诊的最佳时机指南,以及重新评估的时间线和指征,并提供了一份清单,以帮助转诊的临床医生从针对其癫痫患者的神经心理学评估中获得最大收益。