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Focal Cerebral Hemispheric Lesion: Likelihood Ratios

Introduction: None written.

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Neurologic Tag this Diagnosis.

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

Good Positive Likelihood Ratio

Finding +LR-LR Comments, Study
Weakness Edit inf0.7

(unilateral)

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Rapid Alternating Movements Edit inf0.7

aka dysdiadochokinesis

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Finger-Rolling Test Edit inf0.7

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
Forearm-Rolling Test Edit inf0.8

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 inf0.8

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Anomia Edit inf0.8

cognitive defect in naming

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Shoulder Shrug Edit inf0.9

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Graphasthesia Edit inf0.9

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
Thumb Finding Edit inf0.9

tests position sense

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Sensory Extinction Edit inf0.9

bilateral stimulation -> patient aware of only 1 side

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Babinski Reflex Edit inf0.9

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Optokinetic Nystagmus Edit inf0.9

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Hoffman's Sign Edit inf1

"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 inf1

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Light Touch Edit inf1

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Joint Position Edit inf1

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Visual Field Defect Edit 4.40.8

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Two-point Discrimination Edit 40.8

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Facial Weakness Edit 3.40.9

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Calculation Edit 3.40.9

cognitive deficit

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Graphical Construction Edit 2.70.8

cognitive test to replicate interlocking pentagons

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Hyperreflexia Edit 2.20.9

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Wartenberg's Sign Edit 2.20.9

"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 2.20.9

perceive an object simply by touch

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Reduction in Arm Swing Edit 20.9

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

Poorly Diagnostic Findings

Finding +LR-LR Comments, Study
Finger-Nose Edit 1.81

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Repetition Edit 1.31

cognitive defect

Study: J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):545-9. PMID: 15774443
Impaired Balance on One Foot Edit 0.81.1

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

 

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