Does the Clock Drawing Test have focal neuroanatomical correlates?

Daniel Tranel; David Rudrauf; Eduardo P M Vianna; Hanna Damasio

doi:10.1037/0894-4105.22.5.553

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Does the Clock Drawing Test have focal neuroanatomical correlates?

Journal article

Open access

Peer reviewed

Does the Clock Drawing Test have focal neuroanatomical correlates?

Daniel Tranel, David Rudrauf, Eduardo P M Vianna and Hanna Damasio

Neuropsychology, Vol.22(5), pp.553-562

09/2008

DOI: 10.1037/0894-4105.22.5.553

PMCID: PMC2834527

PMID: 18763875

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https://www.ncbi.nlm.nih.gov/pmc/articles/2834527View

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Abstract

The Clock Drawing Test (CDT) is widely used in clinical neuropsychological practice. The CDT has been used traditionally as a "parietal lobe" test (e.g., Kaplan, 1988), but most empirical work has focused on its sensitivity and specificity for detecting and differentiating subtypes of dementia. There are surprisingly few studies of its neuroanatomical correlates. The authors investigated the neuroanatomical correlates of the CDT, using 133 patients whose lesions provided effective coverage of most of both hemispheric convexities and underlying white matter. On the CDT, 30 subjects were impaired and 87 were unimpaired (16 were "borderline"). Impairments on the CDT were associated with damage to right parietal cortices (supramarginal gyrus) and left inferior frontal-parietal opercular cortices. Visuospatial errors were predominant in patients with right hemisphere damage, whereas time setting errors were predominant in patients with left hemisphere lesions. These findings provide new empirical evidence regarding the neuroanatomical correlates of the CDT, and together with previous work, support the use of this quick and easily administered test not only as a screening measure but also as a good index of focal brain dysfunction.

Brain Damage, Chronic - diagnosis

Brain - physiopathology

Humans

Middle Aged

Spatial Behavior - physiology

Male

Psychometrics

Functional Laterality

Brain Damage, Chronic - physiopathology

Parietal Lobe - physiopathology

Psychomotor Performance - physiology

Parietal Lobe - pathology

Neuropsychological Tests

Magnetic Resonance Imaging

Analysis of Variance

Brain - pathology

Adult

Female

Aged

Time Perception - physiology

Details

Title: Subtitle: Does the Clock Drawing Test have focal neuroanatomical correlates?
Creators: Daniel Tranel - Division of Behavioral Neurology and Cognitive Neuroscience, University of Iowa, IA, USA. daniel-tranel@uiowa.edu
David Rudrauf
Eduardo P M Vianna
Hanna Damasio
Resource Type: Journal article
Publication Details: Neuropsychology, Vol.22(5), pp.553-562
DOI: 10.1037/0894-4105.22.5.553
PMID: 18763875
PMCID: PMC2834527
NLM abbreviation: Neuropsychology
ISSN: 0894-4105
eISSN: 1931-1559
Publisher: United States
Grant note: P01 NS019632-150003 / NINDS NIH HHS R01 DA022549 / NIDA NIH HHS P01 NS019632 / NINDS NIH HHS R01 DA022549-01 / NIDA NIH HHS P01 NS19632 / NINDS NIH HHS
Language: English
Date published: 09/2008
Academic Unit: Neurology; Psychological and Brain Sciences; Iowa Neuroscience Institute
Record Identifier: 9984002500202771

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