FIGURE 10.

1 This sample from the Pair Cancellation test (Woodcock-Johnson III Tests of Cognitive Abilities; Woodcock, McGrew, and Mather,
2001c) shows how scanning cancellation tests with horizontally aligned stimuli can elicit subtle unilateral inattention—usually on the left. These
top seven (of 21) lines contain four of the eight left-sided omissions (enclosed in rectangles), one of the three right-sided omissions, and two right-
sided errors (X’d) made by the 55-year-old dermatologist who had sustained a blow to the left side of his head in a skiing accident (see p. 87).
(© Riverside Press. Reprinted with permission) From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological
Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE 10.2 The Line Bisection test. (Schenkenberg et al., 1980) From Lezak, M.D.,
Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological Assessment,
Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE 10.3 Performance of patient with left visuospatial inattention on the Test of Visual
Neglect. (Courtesy of Martin L. Albert.) From Lezak, M.D., Howieson, D.B., Bigler, E.D.,
& Tranel, D. (2012). Neuropsychological Assessment, Fifth Edition. New York, NY: Oxford
University Press.

Lezak-Figures.indd 75 3/15/2012 4:59:14 PM

 FIGURE10.4 The Bells Test (reduced size). (Courtesy of Louise Gauthier and Yves Joanette)
From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological
Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE10.5 Letter Cancellation task: “Cancel C’s and E’s” (reduced size). (Diller, Ben-Yishay, et al.,
1974) From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological
Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE 10.6 Star Cancellation test (reduced size). (Courtesy of
Barbara A. Wilson) From Lezak, M.D., Howieson, D.B., Bigler,
E.D., & Tranel, D. (2012). Neuropsychological Assessment, Fifth
Edition. New York, NY: Oxford University Press.

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 FIGURE 10.7 Indented Paragraph Reading Test original format for copying.
(Permission granted by B.R. Caplan) From Lezak, M.D., Howieson, D.B., Bigler,
E.D., & Tranel, D. (2012). Neuropsychological Assessment, Fifth Edition. New
York, NY: Oxford University Press.

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 FIGURE 10.8 Indented Paragraph Reading Test with errors made by the 45-year-old traumatically injured pediatrician described on pp. 80–81.
Errors made in each of two trials (with a small range magnifying monocle and without it) are marked. From Lezak, M.D., Howieson, D.B.,
Bigler, E.D., & Tranel, D. (2012). Neuropsychological Assessment, Fifth Edition. New York, NY: Oxford University Press.

Lezak-Figures.indd 80 3/15/2012 4:59:20 PM

 FIGURE 10.9 This attempt to copy an address was made by a 66-year-old retired paper mill worker two years after he had suffered a right
frontal CVA. His writing not only illustrates left visuospatial inattention but also the tendency to add “bumps” (e.g., the m in “James”)
and impaired visual tracking (e.g., “Ave” is repeated on the line below the street address line)—all problems that can interfere with the
reading and writing of patients with right hemisphere lesions. From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012).
Neuropsychological Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE10.10 Flower drawn by patient with left visuospatial neglect.
Note placement of flower on the page. From Lezak, M.D., Howieson,
D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological
Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 (a)

(b)
5 6 7
4 8

3 9

2 10

1 11

FIGURE 10.11 Judgment of Line Orientation (Benton, Sivan, Hamsher,

et al., 1994). Examples of double-line stimuli (a) to be matched to the
multiple-choice card below (b). From Lezak, M.D., Howieson, D.B.,
Bigler, E.D., & Tranel, D. (2012). Neuropsychological Assessment,
Fifth Edition. New York, NY: Oxford University Press.

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 –0.2 0.2

FIGURE 10.12 Focal lesions associated with JLO failures. Areas where
focal lesions overlapped with impaired JLO performance have been
plotted on the lateral surface of the left hemisphere and right hemi-
sphere. The color bar indicates different degrees of lesion overlap,
from 1 up to 8, with numbers higher than 8 all coded to dark red.
Negative values on the color bar indicate a lower proportion of par-
ticipants with a lesion and a deficit among those with a deficit, com-
pared to the proportion of participants with a lesion and no deficit
among those with no deficit. As visualized, impaired JLO perfor-
mance is most associated with right parietal lesions. Reproduced with
permission from Tranel et al. (2009) and Taylor & Francis. From
Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012).
Neuropsychological Assessment, Fifth Edition. New York, NY:
Oxford University Press.

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 A

FIGURE 10.13 Test of Facial Recognition (Benton, Sivan, Hamsher,

et al., 1994). These photographs illustrate the three parts of the test.
A: Matching of identical front-views. B: Matching of front-view
with three-quarter views. C: Matching of front-view under differ-
ent lighting conditions. From Lezak, M.D., Howieson, D.B., Bigler,
E.D., & Tranel, D. (2012). Neuropsychological Assessment, Fifth
Edition. New York, NY: Oxford University Press.

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 1 2

3 4

FIGURE 10.14 An item of the Visual Form Discrimination test.

(© Oxford University Press. Reprinted by permission) From
Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012).
Neuropsychological Assessment, Fifth Edition. New York, NY:
Oxford University Press.

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 FIGURE 10.15 Example of the subjective contour effect. (From E.L.
Brown and Deffenbacher, 1979. © Oxford University Press) From
Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012).
Neuropsychological Assessment, Fifth Edition. New York, NY:
Oxford University Press.

Lezak-Figures.indd 87 3/15/2012 4:59:31 PM

 FIGURE 10.16 Closure Speed (Gestalt Completion) (© 1984 by L.L. Thurstone, Ph.D. All rights reserved.) This sample
test question may not be duplicated in any manner without written permission from the publisher. (Courtesy of Pearson
Reid London House, Inc.) From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological
Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE 10.17 Two items from the Silhouettes subtest of the Visual
Object and Space Perception Test. (© 1991, Elizabeth Warrington
and Merle James. Reproduced by permission) From Lezak, M.D.,
Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological
Assessment, Fifth Edition. New York, NY: Oxford University Press.

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 FIGURE 10.18 Multiple-choice item from the Object Decision subtest
of the Visual Object and Space Perception Test. (© 1991, Elizabeth
Warrington and Merle James. Reproduced by permission) From
Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012).
Neuropsychological Assessment, Fifth Edition. New York, NY:
Oxford University Press.

Lezak-Figures.indd 90 3/15/2012 4:59:35 PM

 1 2 3

FIGURE10.19 Easy items of the Hooper Visual Organization Test. (By H. Elston Hooper. © 1958 by Western
Psychological Services. Reprinted by permission) From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel,
D. (2012). Neuropsychological Assessment, Fifth Edition. New York, NY: Oxford University Press.

Lezak-Figures.indd 91 3/15/2012 4:59:35 PM

 FIGURE 10.20 Closure Flexibility (Concealed Figures). (© 1984 by L.L. Thurstone, Ph.D. All rights reserved.) This sample test
question may not be duplicated in any manner without written permission from the publisher. (Courtesy of Pearson Reid London
House, Inc.) From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological Assessment, Fifth Edition.
New York, NY: Oxford University Press.

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 FIGURE 10.21 Example of a Poppelreuter-type overlapping figure.
From Lezak, M.D., Howieson, D.B., Bigler, E.D., & Tranel, D.
(2012). Neuropsychological Assessment, Fifth Edition. New York,
NY: Oxford University Press.

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 3 2

a b e
1 2

1
f

c 3

1 2

3
2
g
1
3
2
1
d

FIGURE 10.22 Rey’s skin-writing procedures. (Courtesy of Presses

Universitaires de France) From Lezak, M.D., Howieson, D.B., Bigler,
E.D., & Tranel, D. (2012). Neuropsychological Assessment, Fifth
Edition. New York, NY: Oxford University Press.

Lezak-Figures.indd 94 3/15/2012 4:59:39 PM