Neuropsychological Assessment
Neuropsychological assessments evaluate major cognitive functions, such as memory, speech and language, visuospatial abilities, attention, motor skills, and information processing. The test results are analyzed in conjunction with medical, psychological, developmental, and pharmacological data to assist with diagnosis, guide treatment, facilitate informed decisions, monitor the progression of a condition, or assess treatment effectiveness.
Neuropsychological testing serves as a valuable complement to neurological exams and brain imaging procedures (e.g.,computed tomography (CT) or magnetic resonance imaging (MRI). While imaging studies reveal the structure of the brain, neuropsychological assessments evaluate an individual’s cognitive functioning. This assessment is complex, as it considers a multitude of factors specific to each patient, including their developmental history, educational and vocational background, medical conditions, medications, and mental well-being. Consequently, the interpretation of test results is contextual, taking into account the patient’s personal history to develop diagnostic and therapeutic strategies. In contrast to brief screenings, neuropsychological testing offers a comprehensive analysis.
Neuropsychological testing is indicated for:
Dementia
Dementia is not a single condition. Neuropsychological assessments, in conjunction with a thorough clinical history, helps differentiate among forms of dementia, including Alzheimer’s, Frontotemporal Dementia, Lewy Body Disease, and Vascular dementia. These evaluations are also pivotal in helping to identify reversible disorders or psychological conditions that can present with dementia-like symptoms. Testing is often an important first step in an evaluation of an individual for plaque clearing treatment for Alzheimer's disease.
Neurological Disorders
Neurological conditions such as Multiple Sclerosis, Parkinson's disease, stroke, brain tumors, and brain injuries can lead to a variety of cognitive challenges.
Consequently, it is essential to describe the specific issues and provide personalized recommendations tailored for the particular cognitive difficulties.
Pre-surgery Exams
Neuropsychological testing plays a pivotal role in pre-surgical evaluations for conditions such as epilepsy and Parkinson’s disease. Testing assists in making informed medical decisions that are tailored to the patient’s specific disease manifestations and optimal management strategies.
NOTE: We are no longer providing pre-surgical exams for spinal cord stimulator implants.
FREQUENTLY ASKED QUESTIONS
How is neuropsychological testing different from a computerized test or screening exam that was provided?
Computer assessments (e.g., ImPACT concussion battery) may indicate cognitive impairments. However, tools such as ImPACT were designed for baseline testing rather than diagnosis. Computerized batteries also assess cognitive function without adequate contextual (background) information and exhibit only moderate correlations with conventional neuropsychological tests. Computer assessments may also pose challenges for the elderly or individuals with limited computer comfort and proficiency. In contrast, tests conducted in person, particularly when interpreted in conjunction with a patient’s medical history, can overcome these challenges.
Screening exams are not thorough evaluations and fail to evaluate many cognitive functions.
Does Dr. Greenberg perform medico-legal evaluations to assist in lawsuits or competency exams?
No.
Are exams to diagnose ADHD, learning difficulties, or Autism Spectrum Disorders provided?
No. For these types of evaluations contact Dr. Robb Mapou at https://drrobbmapou.com/ or Dr. Shawna van Scoyoc