Neuropsychological Evaluation in Epilepsy


Domain

Common measures—but not exhaustive list

Skill

All (most) ages

Adult version

Pediatric version

Intellectual functioning
 
Wechsler Abbreviated Scale of Intelligence-Second Edition (WASI-II)
 
Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV)

Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV)

Language

Verbal fluency

Delis–Kaplan Executive Function System (DKEFS)—Verbal Fluency; Controlled Oral Word Association Test (COWA or COWAT); FAS
  
NEPSY-Second Edition (NEPSY-II): Word Generation

Naming

Boston Naming Test (BNT); Expressive One-Word Picture Vocabulary Test-Fourth Edition (EOWPVT-4)

Receptive vocabulary

Peabody Picture Vocabulary Test-Fourth Edition (PPVT-IV); Receptive One-Word Picture Vocabulary Test-Fourth Edition (ROWPVT-4)

Comprehension

Clinical Evaluation of Language Fundamentals-Fourth Edition (CELF-IV): Concepts and Following Directions; Token Test
  
NEPSY-II: Comprehension of Instructions subtest

Phonological skills

Comprehensive Test of Phonological Processing-Second Edition (CTOPP-2) (to age 24)

Comprehensive Test of Phonological Processing-Second Edition (CTOPP-2)

Memory

Visual

Rey–Osterrieth complex figure test—immediate, delayed, recognition trials
 
Wechsler Memory Scale-Fourth Edition (WMS-IV): Visual Reproduction, Design Memory; Brief Visual Spatial Memory Test—Revised (BVMT-R)

Children’s Memory Scale (CMS): Dot Locations, Faces; NEPSY-II:Memory for Designs

Verbal

Wide Range Assessment of Memory and Learning-Second Edition (WRAML-2):Story Memory; Rey Auditory Verbal Learning Test (RAVLT)
 
WMS-IV: Logical Memory, Verbal Paired Associates; California Verbal Learning Test-Second Edition (CVLT-II); Hopkins Verbal Learning Test–Revised (HVLT-R)

CMS: Stories, Word Pairs; California Verbal Learning Test-Children’s Version (CVLT-C)

Attention and executive functioning

Attention

Test of Variables of Attention (TOVA); Conners’ Continuous Performance Tests-Second Edition (CPT-II);
 
Test of Everyday Attention (TEA)

Test of Everyday Attention for Children (TEA-Ch)

Working memory

Digit Span Backwards (Wechsler measures); Auditory Consonant Trigrams (ACT); WRAML-2 Finger Windows, Sentence Memory

Set-shifting

Trail Making (Trail Making Test (TMT)) Parts A and B; DKEFS: Trail Making); 20 Questions; Wisconsin Card Sorting Test (WCST)

Inhibition

Stroop Color Word Test (Kaplan); DKEFS Color Word Interference

Planning

Tower of London-DX-Second Edition; DKEFS Tower Test; Rey–Osterrieth Complex Figure Test

Overall

Behavior Rating Inventory of Executive Function (BRIEF)

Visual-spatial skills/visual-motor integration
 
Beery-Buktenica Developmental Test of Visual-Motor Integration-Sixth Edition (VMI): Visual-Motor Integration, Visual Perception; Hooper Test of Visual Organization (VOT); Judgment of Line Orientation Test (JLO); Rey–Osterrieth Complex Figure Test—Copy Trial

Fine motor
 
Grooved Pegboard Test or Purdue Pegboard Test; Beery-Buktenica Developmental Test of Visual-Motor Integration-Sixth Edition (VMI): Motor Coordination subtest

Academic achievement
 
Woodcock Johnson III Tests of Achievement (WJ-III); Wechsler Individual Achievement Test–Third Edition (WIAT–III); The Wide Range Achievement Test 4 (WRAT4)

Social/Emotional-Personality-Adaptive (Rating scales)
 
Vineland Adaptive Behavior Scales, Second Edition (VABS-II); Adaptive Behavior Assessment System-Second Edition (ABAS); The Scales of Independent Behavior-Revised (SIB-R)
 
Achenbach Adult Self-Report (ASR); Beck Depression Inventory-Second Edition (BDI-II); Beck Anxiety Inventory (BAI); ADHD Rating Scale-IV

Achenbach Child Behavior Checklist (CBCL)/Youth Self-Report (YSR)/Teacher Report Form (TRF); Children’s Depression Inventory-Second Edition (CDI-2); Revised Children’s Manifest Anxiety Scale-Second Edition (RCMAS-2)
 
The Minnesota Multiphasic Personality Inventory-2 (MMPI-2); NEO Personality Inventory-Revised (NEO PI-R)

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A)





  • General Cognitive Functioning/Intelligence Quotient (IQ)


  • Language


  • Memory and Learning


  • Attention


  • Executive-Regulatory Function


  • Visual/Spatial/Nonverbal processing


  • Motor


  • Academic Achievement


  • Adaptive Functioning


  • Social/Emotional


  • Personality





Neuropsychological Findings by Domain in Epilepsy



Overview


It is long recognized that persons with epilepsy have greater incidence of cognitive and psychiatric comorbidities (Gowers 1881). Consistent with the heterogeneity of seizure disorders, but even often within a single type of epilepsy, no single cognitive profile exists for epilepsy. Other general considerations are as follows:

Oct 11, 2017 | Posted by in NEUROLOGY | Comments Off on Neuropsychological Evaluation in Epilepsy

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