Medical expert answers to questions about neuropsychology

Health Description
Health Consultation Description: "And if localization is so important (for surgery perhaps), wouldn't more direct imaging techniques, PET scans, etc. give better accuracy?"


Expert Reply

Condition analysis:
Another excellent question. I was being trained in neuropsychology about when CT was replacing techniques such as pneumoencephalograph, contrast-dye injection-type procedures. We always had hot debates about whether increasingly good imaging would render neuropsychology obsolete. This was not unimportant to the neuropsychology graduate student! I don't worry about that any more.

Clinical neuropsychology is much more about assessing FUNCTION, secondarily inferring from that known brain locations, conditions, processes if need be, thus as a diagnostic procedure when dx may not be known, but is much more important in relating this to rehabilitation, restoration, compensation for lost function in real-world situations. In order to know that, you have to know about the neuro (cognitive) (logical) conditions, and how your test results relate to those.

An example: An EARLY Alzheimer's patient, albeit with measurable memory dysfunction and exquisitely well-pinpointed loss of volume in the hippocampus by MRI, may nevertheless be able to operate a motor vehicle safely with compensatory methods. No matter how good the imaging methods become to localize the lesion, they may never tell us about HOW THE PERSON FUNCTIONS, and the correlation with real world behavior. This is nexus at which the neuropsychologist functions.

Instructions:
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 Key words:  Neuropsychology

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