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Bringing cognitive testing into the real world

Institute of Neurology & Institute of Cognitive Neuroscience, UCL, National Hospital for Neurology & Neurosurgery, London, UK

Correspondence to:
Professor M Husain, Institute of Neurology & Institute of Cognitive Neuroscience, UCL, National Hospital for Neurology & Neurosurgery, London WC1N 3BG, UK; m.husain@ion.ucl.ac.uk

The first 150 words of the full text of this article appear below.

Imagine a world without neuropsychologists. "Would we notice?", some might remark. That’s because many clinicians erroneously believe that cognitive tests have little to offer either the neurologist or their patient. Increasingly, however, neuropsychology is moving from the apparently esoteric world of complex, pen-and-paper test batteries into the everyday lives of patients. For example, frontal patients may pass standard tasks of "executive function", but nevertheless have marked deficits in planning, organisation and multitasking that can be revealed by a multiple errands task that probes their ability to shop effectively!¹ In this issue, Punt and colleagues² (see page 10.1136/jnnp.2007.129205) examine another real-world issue: the problems encountered by stroke patients with unilateral neglect when operating a wheelchair.

These authors investigated the everyday relevance of a previous pen-and-paper finding—the "cross-over effect"—to patients with neglect trying to navigate around or between obstacles. The cross-over effect describes the tendency of neglect patients to bisect . . . [Full text of this article]

Relevant Article

From both sides now: crossover effects influence navigation in patients with unilateral neglect

T D Punt, K Kitadono, J Hulleman, G W Humphreys, and M J Riddoch
J. Neurol. Neurosurg. Psychiatry 2008 79: 464-466. [Abstract] [Full Text] [PDF]