Presurgical and postsurgical neuropsychological assessment in epilepsy

Background: Epilepsy surgery represents a valuable treatment for people with drug-resistant epilepsy, which often leads to a substantial improvement in the cognitive-behavioral domains and to a better quality of life, especially in children. A neuropsychological assessment is considered mandatory an...

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Main Author: Natalia Doten
Format: Article
Language:English
Published: Scientific Medical Association of Moldova 2020-10-01
Series:The Moldovan Medical Journal
Subjects:
Online Access:http://moldmedjournal.md/wp-content/uploads/2020/10/moldovan-med-j-2020-63-6-doten-full-text.pdf
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author Natalia Doten
author_facet Natalia Doten
author_sort Natalia Doten
collection DOAJ
description Background: Epilepsy surgery represents a valuable treatment for people with drug-resistant epilepsy, which often leads to a substantial improvement in the cognitive-behavioral domains and to a better quality of life, especially in children. A neuropsychological assessment is considered mandatory and should form an integral component of the presurgical evaluation and assessment of postoperative outcome for all epilepsy surgery patients. In this context, the presurgical neuropsychological assessment in combination, as well as other relevant neurological investigations are important for assessing the risk of potential postsurgical cognitive deficits, to determine the dominant hemisphere responsible for language function and to predict the risk of memory decline and of visual and motor deficits. A postsurgical neuropsychological assessment is necessary in assessing the outcomes because cognitive decline is one of the most significant sequelae of epilepsy surgery. Conclusions: The neuropsychological assessment remains an obligatory and valuable part of the presurgical and postsurgical assessment. This article provides a comprehensive overview of the role of neuropsychological assessment in the pre- and postsurgical evaluation of epilepsy surgery patients. The neuropsychological profile may have a predictive role for the identification of the cognitive risk, prognosis, and treatment. New researches about neuropsychological assessment may provide many relevant answers about the outcome of the epilepsy surgery as well as to influence the quality of life.
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spelling doaj.art-f5aefa4343e94e5aac001cfd4231dd092022-12-21T17:50:20ZengScientific Medical Association of MoldovaThe Moldovan Medical Journal2537-63732537-63812020-10-01636576210.5281/zenodo.4028391Presurgical and postsurgical neuropsychological assessment in epilepsyNatalia Doten0https://orcid.org/0000-0002-6073-866XNicolae Testemitanu State University of Medicine and Pharmacy Chisinau, the Republic of MoldovaBackground: Epilepsy surgery represents a valuable treatment for people with drug-resistant epilepsy, which often leads to a substantial improvement in the cognitive-behavioral domains and to a better quality of life, especially in children. A neuropsychological assessment is considered mandatory and should form an integral component of the presurgical evaluation and assessment of postoperative outcome for all epilepsy surgery patients. In this context, the presurgical neuropsychological assessment in combination, as well as other relevant neurological investigations are important for assessing the risk of potential postsurgical cognitive deficits, to determine the dominant hemisphere responsible for language function and to predict the risk of memory decline and of visual and motor deficits. A postsurgical neuropsychological assessment is necessary in assessing the outcomes because cognitive decline is one of the most significant sequelae of epilepsy surgery. Conclusions: The neuropsychological assessment remains an obligatory and valuable part of the presurgical and postsurgical assessment. This article provides a comprehensive overview of the role of neuropsychological assessment in the pre- and postsurgical evaluation of epilepsy surgery patients. The neuropsychological profile may have a predictive role for the identification of the cognitive risk, prognosis, and treatment. New researches about neuropsychological assessment may provide many relevant answers about the outcome of the epilepsy surgery as well as to influence the quality of life.http://moldmedjournal.md/wp-content/uploads/2020/10/moldovan-med-j-2020-63-6-doten-full-text.pdfepilepsypresurgicalpostsurgical psychological assessment
spellingShingle Natalia Doten
Presurgical and postsurgical neuropsychological assessment in epilepsy
The Moldovan Medical Journal
epilepsy
presurgical
postsurgical psychological assessment
title Presurgical and postsurgical neuropsychological assessment in epilepsy
title_full Presurgical and postsurgical neuropsychological assessment in epilepsy
title_fullStr Presurgical and postsurgical neuropsychological assessment in epilepsy
title_full_unstemmed Presurgical and postsurgical neuropsychological assessment in epilepsy
title_short Presurgical and postsurgical neuropsychological assessment in epilepsy
title_sort presurgical and postsurgical neuropsychological assessment in epilepsy
topic epilepsy
presurgical
postsurgical psychological assessment
url http://moldmedjournal.md/wp-content/uploads/2020/10/moldovan-med-j-2020-63-6-doten-full-text.pdf
work_keys_str_mv AT nataliadoten presurgicalandpostsurgicalneuropsychologicalassessmentinepilepsy