As a formally trained neuropsychologist, Dr. Kinsora adheres to findings in neuroscience research to guide his assessment of cognition. Although each assessment is customized to the patient, an assessment of cognition may evaluate any combination of the following domains:
Independent and Medical-legal Evaluations
In cases that are considered independent medical evaluations and those referred as part of litigation, a more comprehensive evaluation is conducted that will be be more sensitive to issues that might be missed by a basic evaluation. These evaluations also include a better appraisal of the complex interrelationship of injury severity, previous strengths, personality variables, and education on neurocognitive functioning and injury perception. Medical-legal evaluations can sometimes span over two full-day sessions, involving longer interviews and the administration of more cognitive measures.
Dr. Kinsora evaluates the resulting data set for validity prior to interpretation in every patient that he sees. This process ensures that the interpretation of neurocognitive measures remains accurate. Once validity of the data set is established, the pattern of performance is compared to known diagnostic groups and well researched cognitive processing pathways. The patterns of performance are then used to formulate a pattern of expected effects of the pattern of performance for the patient in his or her day-to-day life. In many cases, diagnostic groups can be eliminated entirely based on the pattern of performance. Neuroscience research clearly demonstrates that neurocognitive assessment is far more accurate than predictions based on MRI, PET, and other radiological studies in describing the extent of neurocognitive alteration that might be present in various neurological disorders and traumatic brain injuries.
Center for Applied Neuroscience
"putting neuroscience research into practice"
Thomas F. Kinsora, Ph.D.