Neuropsych eval with sn epileptologist? ?

[RunningGirl85]

I'm s bit confused and wondering if any of you have had this experience or if there's some sorta mistake or disconnect.

My neurologist wanted me to get further, more in depth testing to figure out what exactly is going on with this whole epilepsy thing since I still get partials. So the clinic here on post put in a referral for what I THOUGHT was goinf to be .... well. ... more in depth eeg stuff (like putting some electrodes closer to the brain, for example). This referral was with an epileptologist. Well.... got the approval in the mail from my insurance to see this epileptologist. .. except. ... it's saying neuropsychology? Six visits dor that and I guess a consult. I know my neurologist was concerned some of it might be behavioral. ... but I don't understand this referral if he wanted further testing for epileps activity.

I mean. .. I already have a psychiatrist and I've seen a neuropsych... so why would I be referred to an epileptologist in another city for psych? All I can think is the clinic that referred me (not my neurologist) made a mistake in the referral or the the referral jsust isn't reflecting it right.... or my neurologist thinks it's all psychological (but I already have the diagnosis of epilepsy after a few positive eegs and my symptoms leading up to my last tc seizure). Anyway- anyone here been referred to an epileptologist for a PSYCH eval.... I need to get in touch with my case manager cause I'm in the dark here. Gr.

On another note I think he WAS right that some of what I thought was seizure activity was psychological because once my Zoloft and Buspar we're upped a lot of symptoms stopped. ... though I'm still getting lots of short deja vus couple of days a month. Those ar e still followed by tingly hands or somr nausea...

Snd another random thought - I never had a problem with panic attacks or anything of that nature in ths past (anxiety, yes, but no PHYSICAL symptoms like altered sound perception, etc) but I'm wondering if maybe the Keppra had any influence on the panicky type feelings I was getting more frequently. ... wow total tangent but oh well

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[RunningGirl85]

Well I didn't realize how many errors I made trying to type on my phone until this morning...

 

[Nakamova]

Sometimes the neuropsychologist is considered part of the epilepsy department (since a neuropsych eval can play a role in gauging seizure and med side effects, as well as surgery options). But it's highly unlikely that the neuropsychologist and epileptologist would be one and the same. Maybe you'll be seeing more than one specialist?

It seems like it's worth a call to the neuro to find out exactly what the referral is supposed to determine. It may be that, as you suspect, it's just a technicality related to classifying the referral for medical or insurance reasons.

 

[qtowngirl]

more in depth testing to figure out what exactly is going on with this whole epilepsy thing since I still get partials

my guess for more in depth testing is an epilepsy monitoring unit, and a complete neuropsych evaluation is part of that process. sometimes you do it separately beforehand, and sometimes you do it during your stay at the unit.
i did mine for a full monday then checked into the unit that evening.

I mean. .. I already have a psychiatrist and I've seen a neuropsych... so why would I be referred to an epileptologist in another city for psych?

if it's an office where an epileptologist and neuropsychologist are part of a team then it's likely for the monitoring unit. why you'd be meeting with the neuropsych before the doc i don't know, but this is my guess. keep us posted!