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Focal Cerebral Hemispheric Lesion: Sensitivity and Specificity

Introduction: None written.

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Tags: Neurologic Tag this Diagnosis.

The sensitivity and specificity of findings for Focal Cerebral Hemispheric Lesion are listed below. See the left navigation bar to change the display.

Specific Findings

Finding SensitivitySpecificity Comments, Study
Finger-Rolling Test Edit 33%100%

In the finger rolling test each index finger was rotated around the other for five seconds in each direction. An abnormal response was present if one finger orbited around the other.

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Weakness Edit 30%100%

(unilateral)

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Rapid Alternating Movements Edit 30%100%

aka dysdiadochokinesis

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Forearm-Rolling Test Edit 24%100%

One forearm was rolled about the other. Abnormal test = forearm 'orbits' the other.

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Pronator Drift Edit 22%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Anomia Edit 20%100%

cognitive defect in naming

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Graphasthesia Edit 13%100%

i.e. reading a number by feel in the palm of the hand

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Babinski Reflex Edit 13%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Optokinetic Nystagmus Edit 13%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Shoulder Shrug Edit 11%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Thumb Finding Edit 11%100%

tests position sense

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Sensory Extinction Edit 11%100%

bilateral stimulation -> patient aware of only 1 side

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Hoffman's Sign Edit 4%100%

"The test involves tapping the nail or flicking the terminal phalanx of the third or fourth finger. A positive response is seen with flexion of the terminal phalanx of the thumb."

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Spasticity Edit 4%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Joint Position Edit 4%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Light Touch Edit 2%100%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Visual Field Defect Edit 22%95%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Two-point Discrimination Edit 20%95%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Facial Weakness Edit 17%95%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Calculation Edit 17%95%

cognitive deficit

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Hyperreflexia Edit 11%95%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Wartenberg's Sign Edit 11%95%

"A sign noting the position of abduction assumed by the little finger. In ulnar paralysis the little finger is in a position of abduction."

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Stereognosis Edit 11%95%

perceive an object simply by touch

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Finger-Nose Edit 9%95%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Graphical Construction Edit 30%89%

cognitive test to replicate interlocking pentagons

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Reduction in Arm Swing Edit 22%89%

unilateral reduction in arm swing while walking. Note: 4/10 patients had abnormalities ipsilateral to the lesion!

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Repetition Edit 16%88%

cognitive defect

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443

Negative Findings

Finding SensitivitySpecificity Comments, Study
Impaired Balance on One Foot Edit 20%74%

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443

 

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