Michael R. Greher, Ph.D., ABPP Dept. of Neurosurgery Dept.

of Neurology

 What is Neuropsychology?
Detailed cognitive testing attn, executive function, memory, language Part of comprehensive neurological care for patients Along w/medical testing (neurological exam, brain imaging, blood work)

UCSOM Neuropsychology Program Integrate w/Alzheimers Disease Research Program Integrated with new Memory and Dementia Clinic Neuropsychological Evaluation and Consultation Patients across spectrum of memory loss to Alzheimers Disease Patients suffering from Down Syndrome Those involved in various clinical trials and other research activity

 Established in January of 2011 Programmatic Structure

UCH Neuropsychology Clinic busiest in the Colorado Neuropsychology Training Program only adult fellowship in Colorado Neuropsychology Research Program

Staff
3 Board Certified Neuropsychologists only 15 in Colorado 2 Neuropsychology Fellows 1 Intern (minor rotation) 2 Practicum Students 2 Psychometrists 1 Scheduler Additional staff for clinical trials purposes

 Alzheimers Disease
Differential diagnosis of dementia Tracking of cognitive status over time

Down Syndrome
Greater challenge of dementia diff. diagnosis Low baseline cognitive functioning Less able to engage in extensive cognitive evaluation Patients have greater difficulty explaining their symptoms Primary methods Abbreviated evaluation, assessment of change from caregivers, and repeat evaluation to assess for objective change over time

 Intellectual (IQ) and Global Cognitive Functioning Attention and Processing Speed

Wechsler Adult Intelligence Scale-3rd Ed. (WAIS-III), DRS (Mattis) Digit Span, Letter Number Sequencing, PASAT; Trails A, Coding, Ruff 2&7

Executive Functioning
Wisconsin Card Sorting Test, Trails B, Similarities, Matrix Reasoning

Motor and Sensory Functioning

Finger Tapping Speed, Grooved Pegboard, Sensory Perceptual Examination

Language Functioning

Vocabulary, BNT, Phonemic and Semantic Fluency, Western Aphasia Battery Block Design, Clock Drawing, Rey Complex Figure (copy portion) WMS-III-LM, California Verbal Learning Test-2; WMS-III VR, Rey Complex Figure (recall portion)

Visuospatial Functioning Learning and Memory

Emotional Functioning (Screening Questionnaires and In-Depth Multiscale Inventories)

GDS, BDI-II, BAI; MMPI-2, PAI, Clinical Interview

Effort/Symptom Validity