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December 22, 1951

SOME USEFUL NEUROLOGICAL TESTS

Author Affiliations

San Francisco

From the Division of Neurology, University of California School of Medicine.

JAMA. 1951;147(17):1645-1648. doi:10.1001/jama.1951.03670340035008

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Abstract

The following simple clinical tests, easy to perform and to interpret, and requiring but little time, deserve wider use. For everyday neurological examination in the office, they have proved highly valuable. Single eponyms, frequently used in neurological textbooks often are not and cannot be historically correct. They are meaningless to the student and tax his memory without commensurate benefit. For this reason, no eponyms will designate any of these tests. They will be given physiological names.

LID VIBRATION TEST  Many years of experience have proved the following test to be the most dependable and sensitive for the detection of a facial palsy, central or peripheral. Here the palpable vibration of the orbicularis oculi on contraction is tested. The patient closes his eyes, and with his thumb the examiner lifts the upper lid against resistance. In a normal person the examiner feels the vibration of the upper lid which is rapidly

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