LOTCA battery is well-recognised and comprehensive neurocognitive evaluation tool, which examines six major areas including orientation, visual perception, spatial perception, motor praxis, visuomotor organization and thinking operations (12). We did not experience any difficulty in carrying out assessments in our patient population both before and after radiotherapy. Most of our patients had near normal LOTCA scores although mean of 95 suggest somewhat lower score than normal of 119. Radiotherapy at least at 6 month evaluation did not show any change in these scores. Patients with tumours affecting the apparatus (optic chiasmal gliomas) had lower visuomotor organizations.