ABSTRACT

This book highlights those rare, difficult to diagnose or controversial cases in contemporary clinical neuropsychology. The evidence base relevant to this type of work is almost by definition insufficient to guide practice, but most clinicians will encounter such cases at some point in their careers. By documenting the experiences and learning of clinicians who have worked with cases that are ‘out of the ordinary’, the book addresses an important gap in the literature.

The book discusses 23 challenging and fascinating cases that fall outside what can be considered routine practice. Divided into three sections, the text begins by addressing rare and unusual conditions, defined as either conditions with a low incidence, or cases with an atypical presentation of a condition. It goes on to examine circumstances where an accurate diagnosis and/or coherent case formulation has been difficult to reach. The final section addresses controversial conditions in neuropsychology, including those where there is ongoing scientific debate, disagreement between important stakeholders, or an associated high-stakes decision. This text covers practice across lifespan and offers crucial information on specific conditions as well as implications for practice in rare disorders.

This book will be beneficial for clinical neuropsychologists and applied psychologists working with people with complex neurological conditions, along with individuals from medical, nursing, allied health and social work backgrounds. It will further be of appeal to educators, researchers and students of these professions and disciplines.

chapter 1|6 pages

Introduction

Rare conditions, diagnostic challenges, and controversies in clinical neuropsychology

part 1|123 pages

Rare and unusual conditions

chapter 2|15 pages

Gas geyser syndrome in India

A tragic, preventable neuropsychological morbidity

chapter 5|21 pages

A rare and challenging differential diagnosis

Prosopagnosia and reduced empathy in right-variant semantic dementia – where ‘understanding does not map onto reality’

chapter 6|13 pages

A life in Portrait mode

Living with Balint's syndrome

chapter 7|15 pages

Exploring the unknown

Shared discovery in rare mitochondrial disease

chapter 8|9 pages

Galactosaemia

A rare metabolic disorder associated with ‘hidden’ deficits and social vulnerability

chapter 9|20 pages

Anti-N-methyl-D-aspartate receptor antibody encephalitis

Post-acute neuropsychological consequences and rehabilitation in adolescence

part 2|143 pages

Diagnostic challenges

chapter 10|16 pages

Neuropsychological, neuropsychiatric, and functional neurological symptoms

The challenges of overlapping and evolving presentations

chapter 12|29 pages

Deafness or brain injury?

Diagnostic overshadowing in a deaf person with bilateral temporal lobe damage and visual agnosia

chapter 13|15 pages

Aerotoxic syndrome

Are passengers and aircrew breathing toxic cabin air?

chapter 14|16 pages

Focal anterograde amnesia

An extraordinary case

chapter 15|9 pages

‘Ugly sound'

An examination of acquired receptive amusia in a skilled music critic

chapter 16|15 pages

Variability and validity

Challenges to meaningful neuropsychological assessment in mental health settings

part 3|93 pages

Controversial issues and conditions

chapter 20|15 pages

Mild traumatic brain injury

Diagnostic difficulties and legal controversies

chapter 24|12 pages

Losing memories overnight

A unique form of human amnesia or life imitating art?

chapter 25|8 pages

Learning from experience

How can we best help people with rare, difficult to diagnose, or controversial conditions?