Lifting the veil

how to use clinical neuropsychology to assess dementia

James R. Burrell*, Olivier Piguet

*Corresponding author for this work

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

Neurologists often struggle to interpret the results of neuropsychological testing, even though cognitive assessments are an integral component of the diagnostic process in dementia syndromes. This article reviews the principles underlying clinical neuropsychology, background on common neuropsychological tests, and tips on how to interpret the results when assessing patients with dementia. General cognitive screening tools, appropriate for use by general neurologists and psychiatrists, as well as specific cognitive tests examining the main cognitive domains (attention and orientation, memory, visuospatial function, language and executive function) in patients with dementia are considered. Finally, the pattern of deficits, helpful in defining clinical dementia phenotypes and sometimes in predicting the underlying molecular pathology, are outlined. Such clinicopathological associations will become invaluable as disease-modifying treatments for dementia are developed and implemented.

Original languageEnglish
Pages (from-to)1216-1224
Number of pages9
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume86
Issue number11
DOIs
Publication statusPublished - Nov 2015
Externally publishedYes

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