Tabla. Propuesta de evaluación neuropsicológica en la cirugía de la epilepsia. |
|
Nivel cognitivo general, reserva cognitiva y dominancia manual |
Wechsler Adult Intelligence Scale IV (WAIS-IV) Subtest de vocabulario de la WAIS-IV Cuestionario de Edimburgo |
Atención |
Trail Making Test A y B |
Memoria y lenguaje |
Test de aprendizaje verbal España-Complutense (TAVEC) Subtest de memoria lógica I y II de la Wechsler Memory Scale IV (WMS-IV) Figura compleja de Rey Memoria de caras I y II de la Wechsler Memory Scale III (WMS-III) Test de denominación de Boston |
Funciones ejecutivas |
Fluidez verbal semántica y fonémica Test de Stroop Wisconsin Card Sorting Test (WCST) |
Funciones visuoperceptivas y visuomanipulativas |
Visual Object and Space Perception Battery (VOSP) Copia de la figura compleja de Rey Subtest de cubos |
Psicopatología, repercusión funcional y calidad de vida |
Symptoms Checklist 90 Revised (SCL-90-R) Inventario de depresión de Beck State-Trait Anxiety Inventory (STAI) Inventario de síntomas prefrontales (ISP) Cuestionario de fallos de memoria de la vida cotidiana (MFE-30) Quality of Life in Epilepsy Inventory 31 (QOLIE-31) |
Neuropsychological assessment protocol for adults in epilepsy surgery Introduction. Refractory epilepsy means that the seizures are untreatable, and therefore one of the interventions that makes it possible to eliminate them or to accomplish a reduction in the number of seizures is neurosurgery. Development. A neuropsychological evaluation model aimed at measuring the cognitive performance of adult patients who are candidates for epilepsy surgery is proposed. In line with the proposals most frequently put forward by the various reference centres for epilepsy, an open protocol is proposed that is aimed at obtaining a baseline of overall cognitive performance, cognitive reserve and manual dominance, as well as cognitive processes such as attention, language, visuoconstructive and manipulative skills, memory and executive functions, among others, without neglecting the psychopathological examination and the patient’s quality of life. This, together with the results of other diagnostic specialities, will contribute to the localisation and minimisation of the cognitive sequelae secondary to the surgical intervention on the epileptic focus, as well as to providing information to the medical team responsible for the case and to patients and relatives about the possibilities and prognosis of the intervention. It is necessary to have a battery of techniques and an adequate consensus when evaluating the data obtained. Conclusions. An assessment model is proposed that allows information to be obtained about the neuropsychological profile of the candidate for epilepsy surgery, which is open to debate and serves as a model for discussion by the other epilepsy reference centres. Key words. Cognitive performance. Epilepsy. Neurology. Neuropsychological assessment. Neurosurgery. |