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October 18, 2016; 87 (16) Editorial

A neurodevelopmental approach to cognitive and behavioral assessment in epilepsy

William B. Barr, Jana E. Jones
First published September 16, 2016, DOI: https://doi.org/10.1212/WNL.0000000000003241
William B. Barr
From the Departments of Neurology and Psychiatry (W.B.B.), NYU–Langone Medical Center and NYU School of Medicine, New York, NY; and Department of Neurology (J.E.J.), University Hospital and University of Wisconsin School of Medicine and Public Health, Madison, WI.
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Jana E. Jones
From the Departments of Neurology and Psychiatry (W.B.B.), NYU–Langone Medical Center and NYU School of Medicine, New York, NY; and Department of Neurology (J.E.J.), University Hospital and University of Wisconsin School of Medicine and Public Health, Madison, WI.
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A neurodevelopmental approach to cognitive and behavioral assessment in epilepsy
William B. Barr, Jana E. Jones
Neurology Oct 2016, 87 (16) 1634-1635; DOI: 10.1212/WNL.0000000000003241

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Epilepsy is a complex brain disorder that exerts distinct effects on neurodevelopment, behavior, and quality of life, depending on the timing of its onset across the life span. Seizures remain the defining feature of the clinical diagnosis of epilepsy. However, there has been a recent shift from classifying and understanding epilepsy based on seizure types to a more phenomenologic and syndromal approach, emphasizing a disruption of networks as a cause of seizures, in addition to well-known comorbidities in cognition and behavior.1 While the development of functional neuroimaging has provided substantial insights into the composition and characteristics of neuroanatomical networks responsible for the development of seizures,2 neuropsychological assessment, with the use of well-standardized neurocognitive and psychological tests, continues to provide the most validated and effective means of evaluating cognition and behavior in patients with epilepsy, in addition to other neurologic disorders.3

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  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.

  • See page 1642

  • © 2016 American Academy of Neurology
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