文摘
The determinants of cognitive impairment in epilepsy are known since long. After 20–30 years of extensive research, neuropsychology still struggles with knowledge transfer to individual patient care. Progress in regard to diagnostics, disease, and outcome monitoring is discussed. National and international efforts for reaching a common diagnostics are outlined. Proposals for indication of assessment and an evidence based test selection are made. The impact of neuropsychology on safer surgery and drug treatment and on outcome prediction are discussed. The necessity to assess and follow up patients from the beginning of epilepsy is pointed out.