Expertise
Our neuropsychology clinic has over 30 years of experience in
providing comprehensive neuropsychology assessments and treatment
recommendations for the cognitive and behavioral effects of
neurologic, psychiatric and other medical disorders. Our experienced
neuropsychologists, most of whom are board certified by the American
Board of Professional Psychology, have specialized expertise in a wide
range of complex conditions. These include traumatic brain injury,
memory disorders and neurodegenerative disorders, like Alzheimer's
disease and Parkinson's
disease, stroke,
Moyamoya
disease, multiple
sclerosis, epilepsy,
cancer, and brain
tumors.
Memory disorders
Neuropsychological evaluation can help differentiate between normal
aging, mild
cognitive impairment (MCI), and dementia.
Results from the evaluation can be helpful in understanding the causes
of memory and related functional decline. Our neuropsychologists in
the Stanford
Center for Memory Disorders work closely with neurologists to
assist with diagnosis clarification and treatment planning.
Epilepsy
Correct identification and removal of the seizure source is critical
to the success of epilepsy
surgery for individuals with intractable
epilepsy. The neuropsychological evaluation is used to provide
measures of brain function to determine concordance with other
pre-surgery neurodiagnostic findings through imaging tests like EEG, MRI, MEG, and PET that help
identify the seizure focus.
The neuropsychological evaluation is also used to determine
post-surgery outcome, emotional adjustment, and return to work and
school. Our neuropsychologists are a part of the Stanford
Comprehensive Epilepsy Center.
Movement disorders
Individuals who are candidates for deep
brain stimulation (DBS) surgery undergo neuropsychological
evaluation to help determine if surgery is right for them. Our
neuropsychologists are part of the Stanford
Movement Disorders Center team and work directly with the
center's neurologists and neurosurgeons.
Neuropsychological evaluation helps predict post-surgery cognitive
and behavioral outcome, identify cognitive and behavioral deficits
that can be present in movement disorders, and track the long-term
cognitive and emotional effects of medical and surgical treatments.
Traumatic brain injury/concussion
Both mild and more severe traumatic brain injuries can affect mental
abilities, behavior, and emotions. Our neuropsychologists perform
assessments to evaluate the cognitive and psychological effects of
trauma to the brain. We document level of recovery to assist with
treatment planning, and to determine readiness to return to work and
other life activities.
In addition to providing services to the community, our
neuropsychologists conduct evaluations for patients with
sports-related concussions, including members of the San Francisco
49ers, Stanford Cardinal football team, and other Stanford sports teams.
Multiple sclerosis
Multiple sclerosis can affect cognition, behavior, and mood.
Neuropsychological assessment helps identify and characterize an
individual's cognitive strengths and weaknesses. The evaluation
contributes to treatment planning, and patient and family goal
setting. Repeated assessments can be done to evaluate changes in
mental functioning over time. Our neuropsychologists are members of
the Stanford
Multiple Sclerosis Center.
Stroke
Patients who have suffered a stroke
or cerebrovascular event undergo neuropsychological evaluations to
establish a level of overall function, which helps guide
recommendations for neurocognitive rehabilitation, vocational
adjustments, and social-emotional support, as needed. A subset of
patients, those with Moyamoya
disease, are also evaluated. These individuals undergo a
pre-surgery cognitive evaluation to establish a baseline prior to
surgical treatment. They are also usually re-evaluated as part of
post-surgery follow-up.