-
Essay / V5 Neuropsychology, patient impact and family...
V5 Neuropsychology, patient impact and family considerationsNeuropsychologyAfter an individual has damaged the MT/v5 area of the occipital lobe, it can be very beneficial to the individual to go through neuropsychological assessments to assess their perception. and post-traumatic or surgical cognitive abilities. A neuropsychologist determines which tests are appropriate to adequately identify the extent of cognitive and behavioral effects associated with damage to area MT/v5. In the example of SF, the epileptic mentioned earlier (Nawrot et al, 2000), SF had a series of motion perception tests administered to determine the effects of his surgery. In SF's case, pre- and post-operative tests were performed to measure how the removal of the lesion in the MT+ area of his occipital lobe affected his perceptual abilities. The Random Dot Cinematograms (RDC) test was selected to measure SF perception and the subsequent effects of damage sustained in areas of the occipital lobe. Once these tests are administered, the neuropsychologist is able to rank the patient's test score relative to the average scores that represent the normal performance range. In SF's case, perception tests were able to show how long it took for his MT/v5 area to adapt to his new conditions. The neuropsychologist then compares SF's perceptual performance to its preoperative values. These results helped (Nawrot et al, 2000) to suggest that either dendritic sprouting or compensation from the opposite hemisphere occurred in order to compensate for damage to the SF area MT/v5. The importance of these tests is to help the neuropsychologist determine the necessary steps for the patient's rehabilitation. In the case of SF, these results led to the conclusion that removing the TM lesion to reduce his seizures was worth it. The number of seizures was significantly reduced postoperatively, and the visual and perceptual deficits experienced by SF postoperatively were short-lived. Another example of the types of tests used by neuropsychologists to identify the effects of head trauma is illustrated in BC's case study, a 45-year-old female with visual and perceptual deficits. (Vaina et al, 2002, p. 465) The Performance portion of the Wechsler Adult Intelligence Scale-Revised (WAIS-R) was administered by the neuropsychologist to assess BC's perceptual and cognitive abilities. Three tests from the Performance IQ set were administered: Picture Completion, Block Design, and Object