TBI cause harm to the memory function. Medical imaging is unable to test the impact TBI has on memory. The pen and paper method test the ability of the patient's memory. They give them certain tasks in which their memory is being tested. 

Neuropsychologists create a survey of questions and they use the paper and pen methods to ask questions. They also prefer to have the patients be available for face to face meetings. 

The first diagnosing methods  that Neuropsychologists use to diagnose TBI is paper and pen method.

Torregrossa, W., Torrisi, M., De Luca, R., Casella, C., Rifici, C., Bonanno, M., & Calabrò, R. S. (2023). Neuropsychological Assessment in Patients with Traumatic Brain Injury: A Comprehensive Review with Clinical Recommendations. Biomedicines, 11(7), 1991. https://doi.org/10.3390/biomedicines11071991

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