Cognitive Assessment for Clinicians by John R Hodges

By John R Hodges

There were huge, immense advances during the last decade in our knowing of cognitive functionality, quite facets of reminiscence, language and a spotlight, yet those haven't been made obtainable to clinicians. This publication goals to include those advances in thought into scientific perform and to supply a pragmatic method of cognitive valuation on the bedside, according to tools constructed on the Cambridge hospital during the last 15 years. Designed basically for neurologists, psychiatrists and geriatricians in education who require a pragmatic advisor to assessing greater psychological functionality, the ebook can be of curiosity to medical psychologists.

In this long-awaited moment version, John Hodges has considerably re-organized and multiplied at the unique textual content. The ebook contains a new bankruptcy dedicated to the Revised model of the Addenbrooke's Cognitive exam (ACE-R), with an outline of its makes use of and boundaries in addition to normative info. Given the significance of the early detection of dementia a bankruptcy is devoted to this subject which attracts on advances during the last decade. a number of new illustrative case histories have additionally been additional and all the case descriptions were oriented round the use of the ACE-R in scientific practice.

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G. benzoadiazapines alcoholPsychogenic (hysterical) fuguesChronic (persistent)Amnesic syndrome:Dementia (see Chapter 2)1. Hippocampal damageHerpes simplex virus encephalitisLimbic encephalitis (paraneoplastic)AnoxiaSurgical removal of temporal lobesBilateral posterior cerebral artery occlusionClosed head injuryEarly Alzheimer’s disease2. Diencephalic damage Korsakoff’s syndrome (alcoholic and non-alcoholic)IIIrd ventricle tumours and cystsBilateral thalamic infarction Post-subarachnoid haemorrhage especially from anterior communicating artery aneurysms3.

When writing the theoretical sections which underpin the assessment, I have drawn on two major strands of research—the traditional localizationalist approach, and the more recent cognitive neuropsychological approach. Most clinicians will be aware of the former; ever since the original observations of Broca, Wernicke, Pick, Dejerine and others in the last century, neurologists have been interested in the cerebral localization of higher mental functions. After a period of relative neglect, recent advances in static (CT and MRI) and functional (PET and SPECT) neuroimaging have reactivated this traditional approach, and considerable advances have been made in the localization of various cognitive functions, which I have attempted to summarize.

It is aimed at clinicians with a nascent, but underdeveloped, interest in cognitive function. The approach advocated forms no substitute for professional psychological evaluation. However, many neurologists and psychiatrists work without adequate neuropsychological provision. By becoming more conversant with bedside cognitive testing, clinicians should be able to use the services of their neuropsychologists more effectively. It is not necessary, for instance, to refer every patient with suspected dementia; many patients can be satisfactorily diagnosed by clinicians if the basic principles outlined in the book are followed.

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