Since those assessments can take a very long time, patients answers might be influenced by fatigue, pain, and loss of focus.  

the study focused on patients with gliomas, they tested them before and after surgery. They had a series of questions that the patients had to answer, and their results were graded at the end. Then those results were compared to the average healthy adult answers. 

neuropsychological tests using paper and pencil for brain tumor patients 

Romero-Garcia, R., Owen, M., McDonald, A., Woodberry, E., Assem, M., Coelho, P., Morris, R. C., Price, S. J., Santarius, T., Suckling, J., Manly, T., Erez, Y., & Hart, M. G. (2022). Assessment of neuropsychological function in brain tumor treatment: a comparison of traditional neuropsychological assessment with app-based cognitive screening. Acta neurochirurgica, 164(8), 2021–2034. https://doi.org/10.1007/s00701-022-05162-5

The types of tests performed on different brain tumors depend on the part of the brain that they effect the most. for example, a tumor that would effect memory, would have test that explore verbal and non-verbal memory, working memory, recall memory, prospective memory, etc. 

Different types of tests used by neuropsychologist for brain tumors

The major issue with pen and paper approach of neuropsychological assessment. 

There are multiple benefits of using the paper and pen method because the examiner spend time with the examinee. It also takes a long time to complete.

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