Neuropsychological Assessment in Multiple Sclerosis

  1. T. Wollmann 1
  1. 1 Unidad de Neuropsicología. Facultad de Psicología. Universidad de la Laguna
Revue:
Revista de Neurología

ISSN: 1576-6578,  0210-0010

Année de publication: 2000

Volumen: 30

Número: 10

Pages: 985-988

Type: Article

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D'autres publications dans: Revista de Neurología

Résumé

Over the past 20 years great advances have been made in understanding the neuropsychologicalchanges in multiple sclerosis. In this paper we review the nature of mental deterioration in multiple sclerosis and theprocedures used for its evaluation. Development. First we give a short summary of present knowledge of the involvement ofdifferent functions and the instruments most generally used to evaluate it. We then consider the different approaches toneuropsychological assessment, the use of broad guidelines as opposed to screening techniques, bearing in mind theiradvantages and disadvantages in the clinical field and in investigation. Similarly we mention the current trends in theevaluation and treatment of multiple sclerosis. Conclusions. The general profile of neuropsychological alterations in multiplesclerosis is characterized by the presence of changes in secondary memory and speed of thought, although the nature of thisdefect is still not clear. Changes are also seen in other neuropsychological functions, although less frequently and morecontroversially. Our knowledge of the prevalence of these changes comes from the use of guidelines for thorough examination.However, the current tendency is to seek instruments for evaluation which combine diagnostic efficiency, clinical usefulnessand brevity. In this respect, although progress is being made, there are still questions to be answered.

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