Neuropsychological assessment

NEUROPSYCHOLOGICAL ASSESSMENT Cristina Boix Lluch Neuropsicologa Adjunta Servei de Neurologia Hospital Sant Joan de Déu Barcelona UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN PNAS 2004, vol 101, nº 21 The emergence of cognitive deficits in development after Brain Tumor UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN No cognitive improve No deterioration UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN Lymphoblastic Leukemia (25%) Tumors of the central nervous system (CNS) (20%) Treatment Survivors Neuropsychological deficits 75- 80% >70% UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN Lymphoblastic Leukemia Brain Tumor (BT) >70% NEUROPSYCHOLOGICAL DEFICITS LOCATION TREATMENT TYPE OF TUMOR TREATMENT UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN 75- 80% Hypothesized model of neurocognitive late effects and family functioning (Adapted from Peterson and Drotar, 2006) Age disease UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN Lymphoblastic Leukemia Brain Tumor (BT) >70% LOCATION TREATMENT TYPE OF TUMOR TREATMENT NEUROPSYCHOLOGICAL DEFICITS UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN Lymphoblastic Leukemia Brain Tumor (BT) LOCATION TREATMENT TYPE OF TUMOR TREATMENT NEUROPSYCHOLOGICAL DEFICITS UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN 75- 80% Neuropsychology Rehabilitation Neurology Speech Therapist Oncology Occuptional Therapist Psychoncology DEPARTMENTS: UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN PROTOCOL: Tumor diagnosis If possible: brief cognitive assessment and questioners Treatment (Surgery) If possible: brief cognitive assessment and questioners Treatment (RT or ChT) Neuropsychological assessment (Screening) (3months post-tt) Cognitive RHB (8months +-) Neuropsychological assessment Follow-up 5-10 years BT/ ALL IQ MEMORY LANGUAGE FUNCTIONS VISUOSPATIAL, VISUOCONSTRUCTIVE, VISUOPERCEPTIVE ATTENTION FUNCTIONS QUALITY LIFE/ BEHAVIOURA/ EMOTIONAL LEARNING ABILITIES EXECUTIVE FUNCTIONS UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN - Speed processes - Vocabulary (lexical) - WM - Sustained attention - Achenbach: parents - BRIEF: parents UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN - Intelligence (K- BIT,..) - Speed processes - Vocabulary (lexical and comprehensive) - Memory: verbal, visual - Visoconstruction - Executive Functions - Attention Functions - Achenbach: parents - BRIEF: parents UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN - Intelligence (WISC-V) - Speed processes - Language - Memory: verbal, visual - Visoconstruction - Executive Functions - Attention Functions - Reading - Spelling - Numeracy - Achenbach: parents /teacher - BRIEF: parents /teacher - …….. important: neuropsychological assessment at 12 months posttreatment and then annually for the next 5 years (and more) UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN UNIDAD INTEGRAL DE NEURO-REHABILITACIÓN Neuropsychology: •Global normal cognitive development •Cognitive profile/ learning acquisitions •Rehabilitation: monitoring and establish •Follow-up 5 years post-treatment Our ultimate goal for survivors of childhood cancer is returning them to the quality of life that they would have had if they had never had cancer.