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Current standards of neuropsychological assessment in epilepsy surgery centers across Europe

(2017) EPILEPSIA. 58(3). p.343-355
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Abstract
We explored the current practice with respect to the neuropsychological assessment of surgical epilepsy patients in European epilepsy centers, with the aim of harmonizing and establishing common standards. Twenty- six epilepsy centers and members of "E-PILEPSY" (a European pilot network of reference centers in refractory epilepsy and epilepsy surgery), were asked to report the status of neuropsychological assessment in adults and children via two different surveys. There was a consensus among these centers regarding the role of neuropsychology in the presurgical workup. Strong agreement was found on indications (localization, epileptic dysfunctions, adverse drugs effects, and postoperative monitoring) and the domains to be evaluated (memory, attention, executive functions, language, visuospatial skills, intelligence, depression, anxiety, and quality of life). Although 186 different tests are in use throughout these European centers, a core group of tests reflecting a moderate level of agreement could be discerned. Variability exists with regard to indications, protocols, and paradigms for the assessment of hemispheric language dominance. For the tests in use, little published evidence of clinical validity in epilepsy was provided. Participants in the survey reported a need for improvement concerning the validity of the tests, tools for the assessment of everyday functioning and accelerated forgetting, national norms, and test co-normalization. Based on the present survey, we documented a consensus regarding the indications and principles of neuropsychological testing. Despite the variety of tests in use, the survey indicated that there may be a core set of tests chosen based on experience, as well as on published evidence. By combining these findings with the results of an ongoing systematic literature review, we aim for a battery that can be recommended for the use across epilepsy surgical centers in Europe.
Keywords
Epilepsy surgery, Neuropsychology, Diagnostic, Consensus, Europe, TEMPORAL-LOBE EPILEPSY, QUALITY-OF-LIFE, WADA TEST, MEMORY, EXPECTATIONS, PREDICTION, GUIDELINES, LOBECTOMY, OUTCOMES, GERMAN

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Chicago
Vogt, Viola Lara, Marja Äikiä, Antonio del Barrio, Paul Boon, Csaba Borbély, Ema Bran, Kees Braun, et al. 2017. “Current Standards of Neuropsychological Assessment in Epilepsy Surgery Centers Across Europe.” Epilepsia 58 (3): 343–355.
APA
Vogt, V. L., Äikiä, M., del Barrio, A., Boon, P., Borbély, C., Bran, E., Braun, K., et al. (2017). Current standards of neuropsychological assessment in epilepsy surgery centers across Europe. EPILEPSIA, 58(3), 343–355.
Vancouver
1.
Vogt VL, Äikiä M, del Barrio A, Boon P, Borbély C, Bran E, et al. Current standards of neuropsychological assessment in epilepsy surgery centers across Europe. EPILEPSIA. 2017;58(3):343–55.
MLA
Vogt, Viola Lara, Marja Äikiä, Antonio del Barrio, et al. “Current Standards of Neuropsychological Assessment in Epilepsy Surgery Centers Across Europe.” EPILEPSIA 58.3 (2017): 343–355. Print.
@article{8547322,
  abstract     = {We explored the current practice with respect to the neuropsychological assessment of surgical epilepsy patients in European epilepsy centers, with the aim of harmonizing and establishing common standards. Twenty- six epilepsy centers and members of {\textacutedbl}E-PILEPSY{\textacutedbl} (a European pilot network of reference centers in refractory epilepsy and epilepsy surgery), were asked to report the status of neuropsychological assessment in adults and children via two different surveys. There was a consensus among these centers regarding the role of neuropsychology in the presurgical workup. Strong agreement was found on indications (localization, epileptic dysfunctions, adverse drugs effects, and postoperative monitoring) and the domains to be evaluated (memory, attention, executive functions, language, visuospatial skills, intelligence, depression, anxiety, and quality of life). Although 186 different tests are in use throughout these European centers, a core group of tests reflecting a moderate level of agreement could be discerned. Variability exists with regard to indications, protocols, and paradigms for the assessment of hemispheric language dominance. For the tests in use, little published evidence of clinical validity in epilepsy was provided. Participants in the survey reported a need for improvement concerning the validity of the tests, tools for the assessment of everyday functioning and accelerated forgetting, national norms, and test co-normalization. Based on the present survey, we documented a consensus regarding the indications and principles of neuropsychological testing. Despite the variety of tests in use, the survey indicated that there may be a core set of tests chosen based on experience, as well as on published evidence. By combining these findings with the results of an ongoing systematic literature review, we aim for a battery that can be recommended for the use across epilepsy surgical centers in Europe.},
  author       = {Vogt, Viola Lara and {\"A}iki{\"a}, Marja and del Barrio, Antonio and Boon, Paul and Borb{\'e}ly, Csaba and Bran, Ema and Braun, Kees and Carrette, Evelien and Clark, Maria and Cross, Judith Helen and Dimova, Petia and Fabo, Daniel and Foroglou, Nikolaos and Francione, Stefano and Gersamia, Anna and Gil-Nagel, Antonio and Guekht, Alla and Harrison, Sue and Hecimovic, Hrvoje and Heminghyt, Einar and Hirsch, Edouard and Javurkova, Alena and K{\"a}lvi{\"a}inen, Reetta and Kavan, Nicole and Kelemen, Anna and Kimiskidis, Vasilios K and Kirschner, Margarita and Kleitz, Catherine and Kobulashvili, Teia and Kosmidis, Mary H and Kurtish, Selin Yagci and Lesourd, Mathieu and Ljunggren, Sofia and Lossius, Morten Ingvar and Malmgren, Kristina and Mameniskien{\'e}, Ruta and Martin-Sanfilippo, Patricia and Marusic, Petr and Miatton, Marijke and {\"O}zkara, \c{C}i\u{g}dem and Pelle, Federica and Rubboli, Guido and Rudebeck, Sarah and Ryvlin, Philippe and van Schooneveld, Monique and Schmid, Elisabeth and Schmidt, Pia-Magdalena and Seeck, Margitta and Steinhoff, Bernhard J and Shavel-Jessop, Sara and Tarta-Arsene, Oana and Trinka, Eugen and Viggedal, Gerd and Wendling, Anne-Sophie and Witt, Juri-Alexander and Helmstaedter, Christoph},
  issn         = {0013-9580},
  journal      = {EPILEPSIA},
  keyword      = {Epilepsy surgery,Neuropsychology,Diagnostic,Consensus,Europe,TEMPORAL-LOBE EPILEPSY,QUALITY-OF-LIFE,WADA TEST,MEMORY,EXPECTATIONS,PREDICTION,GUIDELINES,LOBECTOMY,OUTCOMES,GERMAN},
  language     = {eng},
  number       = {3},
  pages        = {343--355},
  title        = {Current standards of neuropsychological assessment in epilepsy surgery centers across Europe},
  url          = {http://dx.doi.org/10.1111/epi.13646},
  volume       = {58},
  year         = {2017},
}

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