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Abstract
IntroductionNeuropsychological assessment is an integral component of the surgical procedure in patients with epilepsy. As no French consensus for neuropsychological assessment was available, the main goal of this work was to define French neuropsychological procedure consensus in regard to literature review. MethodA panel of expert in neuropsychology was created within the framework of the French League Against Epilepsy. A systematic search of publications from 1950 to 2017 listed in PubMed database was conducted leading to a classification of articles according to their level of scientific evidence. French neuropsychological procedure consensus was then carried out with an expert panel of expert. ResultsLow scientific evidence of neuropsychological data was reported. A panel of expert proposed a comprehensive neuropsychological assessment procedure including the exploration of intellectual efficiency, long-term memory, short-term and working memory, attention, executive functions, processing speed and motor skills, language, visual processing, praxis, psychobehavioral, and social cognition. DiscussionA common procedure for assessing cognitive and psychobehavioral function is now available in patients with epilepsy undergoing surgical evaluation have been established, they may help to improve the quality of care and the patient experience. This work highlights the need of furthers investigations and the necessity to develop specific tools with normative data.
Highlights
Neuropsychological assessment is an integral component of the surgical procedure in patients with epilepsy
Data characterizing neuropsychological assessment utilized in each study were categorized into cognitive groups based on the domains they are known or assumed to measure (IQ; speed processing; executive functions; memory; language; visual processing/spatial/constructive abilities; social cognition; and psychobehavioral data)
Systematic literature review demonstrated a low evidence for neuropsychological purposes in these scientific reports with 0.9% of Class 1 studies, 8.1% of Class 2 studies and more than 90% of Classes 3 and 4 studies
Summary
Neuropsychological assessment is an integral component of the surgical procedure in patients with epilepsy. A panel of expert proposed a comprehensive neuropsychological assessment procedure including the exploration of intellectual efficiency, long-term memory, short-term and working memory, attention, executive functions, processing speed and motor skills, language, visual processing, praxis, psychobehavioral, and social cognition. Discussion: A common procedure for assessing cognitive and psychobehavioral function is available in patients with epilepsy undergoing surgical evaluation have been established, they may help to improve the quality of care and the patient experience. The role of neuropsychological assessment is crucial in presurgical patients diagnosed with drug-resistant epilepsy. In this context, neuropsychological assessment procedure (NAP) aims to identify epilepsyrelated cognitive impairment and their etiologic attribution to lesions, drug treatment, and mood. Major predictors of neuropsychological outcome include presurgical tests performances, which reflect functional integrity of the resected tissues and cognitive reserve capacities [5,6]
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