One of the most important procedures when working with a patient with a known or suspected acquired injury or neurodegen- erative condition is determining their premorbid level of neurocognitive functioning. Although this process has been relatively well-researched in the adult/geriatric neuropsychological literature, there are comparatively few publications for the pediatric population and less consensus regarding how to translate findings into practice. This is likely due to a combination of factors, including children having obtained fewer developmental milestones, the highly variable nature of neurodevelopment in children, and that pediatric neuropsychologists frequently work with children with congenital/neurodevelopmental conditions in which determination of premorbid functioning may feel less important. This manuscript reviews the literature on this topic and offers recommendations for the best practice as well as future research directions in the estimation of premorbid functioning in a pediatric population. . . Keywords Neuropsychological assessment Estimation of premorbid functioning Pediatric neuropsychology Although development is a lifelong process, acquired injuries, critical to obtain an empirical estimate of the degree of decline. conditions brought about by intervention (e.g., surgery, che- Similarly, in clinical cases, an accurate estimate of premorbid motherapy, radiation), trauma, or onset of a neurodegenerative functioning may facilitate differential diagnosis and interven-
Journal of Pediatric Neuropsychology – Springer Journals
Published: May 29, 2018
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