The future is now: pediatric neuropsychological presurgical epilepsy evaluation in the age of COVID-19
| Autor: | Stephanie Ruth Young, Rosario C. DeLeon, William A. Schraegle, Nancy L. Nussbaum, Morgan L. Engelmann |
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| Rok vydání: | 2021 |
| Předmět: |
Drug Resistant Epilepsy
medicine.medical_specialty Adolescent telehealth Process (engineering) Clinical Decision-Making neuropsychology Context (language use) Telehealth Neuropsychological Tests User-Computer Interface Epilepsy COVID‐19 Seizures Multidisciplinary approach Pandemic medicine Humans Medical physics Child Pandemics Patient Care Team virtual assessment Risk of infection COVID-19 Infant Original Articles General Medicine Models Theoretical medicine.disease Telemedicine Neurology epilepsy Survey data collection Original Article Female Epilepsies Partial Neurology (clinical) Psychology pre‐surgical planning |
| Zdroj: | Epileptic Disorders |
| ISSN: | 1950-6945 1294-9361 |
| DOI: | 10.1684/epd.2021.1274 |
| Popis: | Objective. The objective of this brief report is to review an assessment paradigm for conducting virtual neuropsychological pre‐surgical evaluations in the context of the COVID‐19 pandemic. Methods. A multidisciplinary epilepsy team at a Level 4 epilepsy center within a large children's academic medical center convened to discuss the challenges and possible solutions for Phase II evaluations for pediatric patients with pharmacoresistant epilepsy during the COVID‐19 pandemic. The neuropsychologists explored evidence‐based methods of virtual evaluation and developed a systematic decision‐making process for youth requiring a Phase II evaluation. Results. We propose models of assessment which prioritize teleneuropsychology when possible to reduce the risk of infection: (1) evaluation with directly administered tests through a completely virtual format; (2) virtual/in‐person hybrid evaluation; and (3) clinical observation/interview in a virtual format supplemented by survey data. These models are illustrated by three cases. Significance. Using virtual assessment models, the team was able to meet the urgent patient care needs and collect useful data while minimizing the risk of virus spread. The paradigms presented may be useful examples for other multidisciplinary surgical teams interested in incorporating teleneuropsychology into their practices. |
| Databáze: | OpenAIRE |
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