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Sips, 2008 Medición Del Hemirferio Derecho
Sips, 2008 Medición Del Hemirferio Derecho
VPT-srf'
8% LOT FR T RHDT VPT-L~ VPT-R'
Mean (SO) Mean (SO) Mean (SO) Mean (SO) Mean (SO) Mean (SD)
~
5 14.8 (1.8) 30-5 (4.8) 553.1 (190.9) 847-2 184-4) 725.0 (209.1)
6 19.2 (4.6) 32-3 (2.5) 396.6 (65.3) 494.3 100~0) 558.5 (169.9)
7 19.0 (2.1) 35.9 (3.9) 325.8 (65.4) 405.6 (76.2) 443.1 (132.6)
8 19.4 (5-3) 39-0 (3.3) 303.4 (36.9) 377.5 57-6) 381.8 (43.8)
9 21.3 (5.3) 40.8 (4.3) 285-4 (27.7) 344.6 (34.0) 363.0 (63.4)
10 23.3 (4.9) 42.5 (5.3) 255.2 (37.7) 315.0 (60-9) 318-7 (61.1)
I1 22.s (4.7) 42.0 (2.6) 254.3 (2S.8) 291 - 7 (31 '6) 300.1 (32.4) -20
12 24-4 (4- 1) 4 4 . 5 (2.7) 229.0 (28.3) 284.8 (51.3) 271.9 (37.7)
13 23.6 (2.8) 4 3 - 5 (4.4) 243.2 (29.3) 287.6 (56 9) 301-2 (53.8)
14 21.6 (5.1) 4 1 - 8 (4.3) 238.1 (28.3) 293 * 4 (59.7) 281.6 (42.1)
19.3' - - 230-7 (39.9) 271.2 (50.2) 264.0 (46.5)
'VPT-srt = mean shortest reaction time (ms). 'VPT-L = mean scores for left hemifield (ms). 'VPT-R =mean
scores for right hemifield (ms).
*Young adults: mean age 19.3 (SD 4.3) years.
normal visual acuity, no colour-blindness large arachnoid cyst in the middle cranial
(Ishihara 1981). intact visual fields, fossa with substantial compression of the
normal eye-movements, no recognised temporal lobe. All patients were in a
neurological disorder, and had sustained stable clinical condition. In cases of
no cerebral concussion in the preceding surgery or acute onset of symptoms due to
two years. They were not under sedative haemorrhage or infarction, testing was
medication. Informed consent of parents delayed for at least three months after the
and children was obtained. event. Due t o various technical reasons,
All children completed the LOT, FRT the VPT results of patients RS, R6 and L3
and VPT. 44 of them (22 boys and 22 are not complete.
girls) also completed the RHDT. Their age
distribution is shown in Figure 1. 14 Statistical analysis
normal young adults (eight males and six Following Benton ef al. (1983), a score
females, mean age 19.3 (SD 4.3) years) within the limits of one standard
also completed the RHDT and VPT. deviation was chosen as the normal range
for all tests. The sensitivity of each test
PATlENTS was calculated as the proportion of
We assessed 14 children (eight boys and patients with insufficient test results
six girls) with an acquired right- (nine within the group of patients with lesions
cases) or left-sided (five cases) cerebral of the right hemisphere. Specificity was
hemisphere lesion. In all cases, cr and/or calculated as the proportion of patients
MRI scans confirmed that lesions were with normal test results in the group of
limited to either the left or right hemi- patients with lesions of the left
sphere. An arteriovenous malformation hemisphere. The predictive value of the
was present in six patients (cases ~ 2 ~, 4 , tests was calculated as the proportion of
RS, L I , L2 and L4). Four of these (R2, R4, patients with insufficient test results with
R8 and ~ 4 had ) presented with an acute a right-hemisphere lesion. Accuracy was
haemorrhage. In one patient (R6) the calculated as the number of patients with
lesion was due to occlusion of part of the a right-hemisphere lesion who had an
middle cerebral artery. Six patients abnormal score on this test, plus the
suffered from a cerebral tumour ( R I , ~ 3 , number of patients with a left-hemisphere
RS, R7, ~3 and ~ 5 ) .In patients ~ 3 RS,
, ~ 7 , lesion with a normal score on this test, ..
~3 and LS, the tumour had been resected divided by the total number of patients
by the time of testing. Patient ~9 had a with a right- or a left-hemisphere lesion. 59
TABLE I1
Individual test performances of patients with a lesion of right or left cerebral hemisphere
Patient' Age (yrs} Sex Ae(io1og.v LOT FRT RHDT VPT (ins)'
Srt I. R
TABLE 111
Comparison of all tests
LOT 22 40 40 29
I-TR 33 60 60 43
RHDT 56 60 71 57
VPT (shortest reaction time) 78 75 88 77
RHDT and VPT 89 40 72 71
ZUSAMMENFASSUNG
Beurteilung einer Dysfunktion der rechten Hemisphare bei Kindern: Validirat von 2 wei Computertests
Es wurde die Validitat von zwei neuen Computertests zur Erkennung von Lasionen der rechten
Hirnhemisphare bei Kindern untersucht-Dysfunktionstest der rechten Hirnhemisphare und visuellcr
Perzeptionstest. Normale Daten wurden von einer Gruppe von 91 Kindern (funf bis 14 Jahre alt)
und 14 jungen Erwachsenen erhoben. Aunerdem wurden 14 Kinder mit erworbenen Lasionen dcr
rechten oder linken Hirnhernisphare mit diesen Tests untersucht. Die Ergebnisse zeigen. daB der
Dysfunktionstest der rechten Hemisphare und der visuelle Perzeptionstest mit prognostischen
Ausagewerten von 71 bzw. 88 Prozent f u r die klinische Anwendung zur Diagnostik einer
Dysfunktion der rechten Hemisphare bei Kindern geeignet sind.
RESUMEN
Medicion de la disfuncion del hemisferio derecho en niitos. Validez de un nuevo tests t*ot?1putariiado
Se evaluo la validez de dos nuevos tests computarizados para la deteccion de lesiones del hemisferio
cerebral derecho en ninos (test de disfuncion del hemisferio derecho y test de percepcion visual). Los
datos normativos se extrajeron de un grupo de 91 ninos (de cinco a 14 anos) y 14 adultos jovenes.
Los tests se pasaron tambien a 14 ninos coy lesiones adquiridas de hemisferio derecho o izquierdo.
Los resultados demostraron que el test disfupcion del hemisferio derecho y el de percepcion visual,
con valores predictivos del 71 y el 88 por ciento repectivamente, son utiles en la practica privada
para la deteccion de la disfuncion del hemisferio derecho en nines.
63