A - 44 Value of Repeat Neuropsychological Assessments in Children with Complex Birth and Neurological Injuries.

The article focuses on the value of repeat neuropsychological assessments in children with complex birth and neurological injuries, illustrated through a case study of an 18-year-old male with extremely low birthweight, periventricular leukomalacia (PVL), cerebellar atrophy, delayed myelination, arthrogryposis, and craniosynostosis. Over eight years, serial assessments showed preserved verbal and nonverbal intelligence, phonemic awareness, computation skills, and social cognition, alongside deficits in processing speed, working memory, and executive functions. The findings highlight variability in outcomes and emphasize that repeat assessments help identify preserved abilities to guide targeted educational and intervention strategies. The study advocates for access to ongoing neuropsychological evaluations as medically necessary to support positive developmental and functional outcomes.