Dr. Medici is a practicing neuropsychologist in Southern California. She administers individually tailored batteries of neuropsychological tests of memory, thinking, reasoning, language function, visual spatial function, etc.
You may wish to have a neuropsychological evaluation for yourself or a family member. Some common requests are as follows:
1. Persons or families of persons with underlying TRAUMATIC BRAIN INJURY. For example, victims of car accidents, motorcycle accidents, sports-related injuries, or abuse. Recently, Bob Woodruff, an embedded reporter in Iraq, has described his significant brain injury (and good recovery) from an IED in Iraq. Neuropsychological evaluations are helpful in determining the level of function following this kind of injury. In addition, they are an aid in treatment planning and may be of use if legal issues are involved.
2. Neuropsychological evaluations are often requested for questions of DEMENTIA. This includes assessment of level of function, diagnosis of type of dementia and degree of dementia. Neuropsychological evaluation is of special value in determining the level of care needed. Legal issues may also be of consequence. Different types of dementia (Alzheimer’s, Vascular, Lewy Body, Frontal) may require very different care-giver plans.
3. EFFECTS OF STROKE can be assessed. So called "minor" strokes may produce significant losses in memory or thinking. The patient may have been unaware that the stroke has occurred. The kinds of losses experienced with stroke depend upon the exact brain focus of the CVA. Neuropsychological testing can be very helpful in assessing the focal losses related to stroke and appropriate treatment planning.
4. Evaluation of patient with KNOWN NEUROLOGICAL DISEASES such as Parkinson’s and Multiple Sclerosis. Level of function, level of care needed, and treatment options may be suggested on the basis of the neuropsychological evaluation.
5. EMOTIONAL AND PERSONALITY CHANGES SECONDARY TO NEUROLOGICAL PROBLEMS may be discerned with neuropsychological testing. Such testing can help determine the role of undiagnosed neurological disorders related to the appearance of psychiatric symptoms such as mood liability, impulsivity, or changes in personality. For example, in a recent case neuropsychological testing led to the discovery of “silent” seizures in frontal lobe areas. The seizures had clearly been contributing to intermittent episodes of explosive behavior and were well controlled with appropriate medication.
6. Neuropsychological evaluations are useful for LEGAL QUESTIONS related to brain damage from accidents, cases of product liability, etc. For example, in one instance a young patient suffered brain damage from an accidental electrical shock. Neuropsychological data provided critical information for his treatment and care. It also provided needed data for his attorneys to reach a settlement.
If you have a need for a neuropsychological evaluation or would like to refer someone for such an evaluation, please call Dr. Medici at (626) 799-7320 and leave a detailed message on her voicemail.
Referral from your primary doctor, neurologist or psychiatrist will be helpful. Generally speaking, you should bring a list with you of medications, written reports from any brain scans or other previous neurological tests to the evaluation. Most evaluations last three hours or more. All information is confidential. A detailed report of the neuropsychological evaluation will be sent to your doctors, attorneys, etal only at your written request.