The future is now: pediatric neuropsychological presurgical epilepsy evaluation in the age of COVID-19.
Epileptic Disord
; 23(2): 274-280, 2021 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-33926855
ABSTRACT
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. 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. 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. 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.
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Base de dados:
MEDLINE
Assunto principal:
Telemedicina
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Pandemias
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Epilepsia Resistente a Medicamentos
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COVID-19
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article