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Journal of Child Neurology, Vol. 14, No. 4, 243-248 (1999)
DOI: 10.1177/088307389901400406

Clinical Utility of the Judgment of Line Orientation Test and Facial Recognition Test in Children With Acquired Unilateral Cerebral Lesions

Philippe F. Paquier, PhD

Division of Applied Neurolinguistics, Department of ENT-Surgery, School of Medicine, University of Antwerp (UIA) Antwerp, Belgium, neurolog{at}ulb.ac.be, Department of Neurology, Erasme University Hospital ULB Brussels, Belgium

Marijke van Mourik, PhD

Department of Medical Psychology, General Hospital Walcheren Vlissingen, The Netherlands, Department of Pediatric Neurology, Sophia Children's University Hospital, Erasmus University Rotterdam, The Netherlands

Hugo R. Van Dongen, PhD

Department of Pediatric Neurology, Sophia Children's University Hospital, Erasmus University Rotterdam, The Netherlands

Coriene E. Catsman-Berrevoets, MD, PhD

Department of Pediatric Neurology, Sophia Children's University Hospital, Erasmus University Rotterdam, The Netherlands

Wouter L. Creten, PhD

Laboratory for Biomedical Physics, University of Antwerp (RUCA) Antwerp, Belgium

Dik L. Stronks, PhD

Department of Medical Psychology, Erasmus University Rotterdam, The Netherlands

In unselected adult patients with brain damage, the Judgment of Line Orientation Test and the Facial Recognition Test are considered valid instruments for detecting right cerebral hemisphere lesions. It is unknown, however, whether this applies to children as well. Performance levels on the Judgment of Line Orientation Test and the Facial Recognition Test of 18 children with acquired left cerebral lesions and 14 children with acquired right cerebral lesions were reviewed. Subjects were unselected for age, sex, or etiology. Age-related norms were obtained in 81 normal controls, aged 7 to 14 years. Judgment of Line Orientation Test and Facial Recognition Test performance levels did not predict the presence of cerebral pathology per se in our unselected groups with demonstrated unilateral cerebral lesions, nor did they contribute to the prediction of the side of the lesion within the two groups with cerebral lesions. These results cast serious doubt on an important aspect of the clinical utility of both tests in children, namely their discriminative validity in the assessment of etiologically unselected populations with brain damage. (J Child Neurol 1999;14:243-248).


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