Use of neuropsychological testing in idiopathic environmental intolerance

Research output: Contribution to journalArticlepeer-review


The neuropsychological evaluation provides unique information on the functional integrity of the CNS. As with any diagnostic process, the ability to pinpoint the diagnosis among neurotoxicant exposure, neurologic disease, medical illness, or neuropsychiatric disturbance is based on the combined evidence taken from the medical, occupational, social, and academic histories, physical and neurologic exams, biological monitoring, EEG, CT/MRI, and the neuropsychological evaluation. When evaluating patients who present with symptoms of IEI, it is irresponsible to routinely attribute their symptoms to the presence of a neuropsychiatric disorder. It is equally irresponsible to attribute IEMike symptoms to chemical exposure without rigorously exploring other etiologies. If other causes for the symptoms are not considered, then many treatable conditions will remain unidentified and untreated. Finally, the neuropsychological evaluation cannot be used to diagnose IEI, but rather should be used to rule out treatable causes for the symptoms experienced by the patient with IEI.

Original languageEnglish (US)
Pages (from-to)617-625
Number of pages9
JournalOccupational Medicine - State of the Art Reviews
Issue number3
StatePublished - Dec 1 2000

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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