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33 - Rehabilitation and pharmacotherapy ofcognitive impairments

from Section III - Treatments in Behavioral Neurology & Neuropsychiatry

Published online by Cambridge University Press:  05 February 2013

By
David B. Arciniegas ,
Hal S. Wortzel  and
Kimberly L. Frey
Edited by
David B. Arciniegas ,
C. Alan Anderson  and
Christopher M. Filley
David B. Arciniegas
Affiliation:
University of Colorado, School of Medicine
C. Alan Anderson
Affiliation:
University of Colorado, School of Medicine
Christopher M. Filley
Affiliation:
University of Colorado, School of Medicine
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Summary

This chapter first reviews several essential pretreatment considerations. It reviews general principles of cognitive rehabilitation and pharmacotherapy followed by considerations of the evaluation and management of domain specific cognitive impairments. Cognitive complaints and/or impairments are common reasons for consultation with Behavioral Neurology & Neuropsychiatry (BN&NP) sub-specialists. Neuropsychological testing may be useful when bedside cognitive assessments fail to identify impairments in the cognitive domains suggested by patient complaints or history. Supportive therapy focuses on the personal, social/occupational, and functional challenges presented by cognitive impairments as well as their underlying causes. The American Congress of Rehabilitation Medicine (ACRM) and the European Federation of Neurological Societies (EFNS) developed evidence-based recommendations for the rehabilitation of cognitive deficits associated with stroke and traumatic brain injury (TBI). Pharmacologic treatments of working memory impairments include augmentation of cerebral catecholaminergic function, cholinergic function, or both.

Keywords

neuropsychological reportsclinical interviewneuropsychological assessmentAmerican Medical Association's Current Procedural Terminologycentral nervous system
Type
Chapter
Information
Behavioral Neurology & Neuropsychiatry , pp. 511 - 542
Publisher: Cambridge University Press
Print publication year: 2013

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