Clinical Mentation Evaluation

Michael Hoffmann, MD, PhDDepartment of NeurologyUniversity of Central FloridaOrlando VA Medical CenterOrlando, FL 32801 USA

• 1. Introduction: Overview and challenges of cognitive and behavioral assessment.- 2.Neuroanatomical and neurophysiological underpinnings of cognition and behavior: Cerebral networks and intrinsic brain networks.- 3. Clinical presentations: mild behavioral impairment, mild cognitive impairment, dementia, and cognitive reserve and its implications.- 4. Cognitive Reserve.-5. Bedside mental status evaluation: Overview, Coconuts, Cobe 50.- 6. Neuropsychological Testing and computerized cognitive testing.-7. Prefrontal network for executive control of cognition and comportment including the executive control, salience (ventral attention) and semantic appraisal (SAN) networks.- 8. Default Mode Network (mentalizing) and limbic network for explicit episodic memory syndromes.-9. Right dominant frontoparietal network for spatial orientation (Dorsal attention (visuospatial attention).- 10. Left dominant peri-sylvian network for language syndromes (and Language ICN network).- 11. Occipitotemporal network for face and object recognition syndromes (Visual network) occipitoparietal and provincial hub syndromes.- 12. Provincial hub syndromes, temporal, parietal, acquired cultural circuits.-13. Neuroplasticity and other treatment options for cognitive and behavioral neurological syndromes.- 14. Who needs evaluation? The case for you, leadership, executives and people in public office­­­­­­­.